Healthcare Provider Details

I. General information

NPI: 1013688852
Provider Name (Legal Business Name): LAURA HAMEL APN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 ROUTE 70 E STE C
CHERRY HILL NJ
08003-2160
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-3760
  • Fax: 856-325-3761
Mailing address:
  • Phone: 856-355-0340
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number26NJ01197900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: