MEDICARE: MR. NOEL PATRICK HAMILTON CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11008117	FL
2	363LF0000X	Family Nurse Practitioner	RN629742	PA
3	363LP2300X	Primary Care Nurse Practitioner	SP015973	PA
4	363LP2300X	Primary Care Nurse Practitioner	11008117	FL
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11008117	FL

General Provider Information

NPI Number	:	1154788008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NOEL PATRICK HAMILTON CRNP

Provider Business Mailing Address
First Line	:	1150 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5553
Country	:	US
Telephone Number	:	610-716-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5553
Country	:	US
Telephone Number	:	610-716-1202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2016
Last Update Date	:	11/01/2023

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