Healthcare Provider Details

I. General information

NPI: 1609957570
Provider Name (Legal Business Name): BILLIE HAMILTON-POWELL RN,PA-C, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 HARRY S TRUMAN DR N
LARGO MD
20774-5477
US

IV. Provider business mailing address

3001 HOSPITAL DR
CHEVERLY MD
20785-1189
US

V. Phone/Fax

Practice location:
  • Phone: 240-677-2300
  • Fax: 240-677-0066
Mailing address:
  • Phone: 301-618-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA10004286
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR100750
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024167973
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: