MEDICARE: CRISTEN HAMILTON RN

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	163W00000X	Registered Nurse	R102485	AR

General Provider Information

NPI Number	:	1245199801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTEN HAMILTON RN

Provider Business Mailing Address
First Line	:	2100 N GREEN ACRES RD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-2807
Country	:	US
Telephone Number	:	479-521-0455
Fax Number	:	479-521-4167

Provider Business Practice Location Address
First Line	:	2100 N GREEN ACRES RD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-2807
Country	:	US
Telephone Number	:	479-521-0455
Fax Number	:	479-521-4167

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ CRISTEN HAMILTON RN” Practice Location

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