Healthcare Provider Details

I. General information

NPI: 1932472354
Provider Name (Legal Business Name): CHRISTY M HAMILTON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

5500 MARKET ST SUITE 119
BOARDMAN OH
44512-2601
US

V. Phone/Fax

Practice location:
  • Phone: 724-824-4096
  • Fax: 724-269-9476
Mailing address:
  • Phone: 724-824-4096
  • Fax: 724-269-9476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN562414
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number088428
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: