MEDICARE: CRISTINE ELISE HAMILTON APRN

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	APRN1103058	FL

General Provider Information

NPI Number	:	1891576849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINE ELISE HAMILTON APRN

Provider Business Mailing Address
First Line	:	4623 FOREST HILL BLVD STE 112
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-9121
Country	:	US
Telephone Number	:	561-433-0080
Fax Number	:	561-433-1668

Provider Business Practice Location Address
First Line	:	4623 FOREST HILL BLVD STE 112
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-9121
Country	:	US
Telephone Number	:	561-433-0080
Fax Number	:	561-433-1668

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

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	01/11/2024

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