Healthcare Provider Details

I. General information

NPI: 1902685076
Provider Name (Legal Business Name): ASHLEY ELIZABETH HAMILTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 POWELL CIR
BERLIN MD
21811-1185
US

IV. Provider business mailing address

253 POWELL CIR
BERLIN MD
21811-1185
US

V. Phone/Fax

Practice location:
  • Phone: 443-359-1441
  • Fax:
Mailing address:
  • Phone: 443-359-1441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR213337
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR213337
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: