Healthcare Provider Details

I. General information

NPI: 1942354097
Provider Name (Legal Business Name): MICHELE HAMILTON NCS RNAPRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WHITPAIN HILLS MICHELE HAMILTON CNS
BLUE BELL PA
19422-1343
US

IV. Provider business mailing address

110 WHITPAIN HILLS MICHELE HAMILTON
BLUE BELL PA
19422-1343
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-2649
  • Fax:
Mailing address:
  • Phone: 610-279-2649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN1564230
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN00076143
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAP30004548
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: