Healthcare Provider Details

I. General information

NPI: 1770955023
Provider Name (Legal Business Name): SHAMIN HAMPTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 304
NAPLES FL
34102-5887
US

IV. Provider business mailing address

311 9TH ST N STE 304
NAPLES FL
34102-5887
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4200
  • Fax: 239-624-4201
Mailing address:
  • Phone: 239-624-4200
  • Fax: 239-624-4201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9414635
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: