Provider Demographics
NPI:1134699424
Name:HAMPTON, GRETA A (RN)
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:A
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 S IDALIA ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5065
Mailing Address - Country:US
Mailing Address - Phone:225-288-1890
Mailing Address - Fax:
Practice Address - Street 1:1399 S IDALIA ST UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5065
Practice Address - Country:US
Practice Address - Phone:225-288-1890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1647804163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA53964OtherNURSING
CO1647804OtherNURSING
AK35088OtherNURSING
CA847440OtherNURSING
TX552325OtherNURSING