Provider Demographics
NPI:1053075416
Name:HAMILTON, EMMA MARY (ARNP)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MARY
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3553 ALDERGROVE RD
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8757
Mailing Address - Country:US
Mailing Address - Phone:360-393-2806
Mailing Address - Fax:
Practice Address - Street 1:1420 ROOSEVELT AVE STE 4
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2687
Practice Address - Country:US
Practice Address - Phone:360-899-4086
Practice Address - Fax:360-899-4124
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61256433363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily