MEDICARE: ANGELA ROSE HAMPTON

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	363LA2100X	Acute Care Nurse Practitioner	11023582	FL
2	363LA2100X	Acute Care Nurse Practitioner	RN9497664	FL

General Provider Information

NPI Number	:	1427836402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ROSE HAMPTON

Provider Business Mailing Address
First Line	:	937 FIRETREE RD
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	937 FIRETREE RD
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4007
Country	:	US
Telephone Number	:	561-459-0720
Fax Number	:

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

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	06/17/2024

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Directions to “ ANGELA ROSE HAMPTON ” Practice Location

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