Provider Demographics
NPI:1215179866
Name:HAMLIN, CAROL MARGARET (NP-C)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:MARGARET
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:MARGARET
Other - Last Name:HAMLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:33 CHAFFEEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD CENTER
Mailing Address - State:CT
Mailing Address - Zip Code:06250-1112
Mailing Address - Country:US
Mailing Address - Phone:910-280-8532
Mailing Address - Fax:860-456-2261
Practice Address - Street 1:1007 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2170
Practice Address - Country:US
Practice Address - Phone:860-774-2020
Practice Address - Fax:860-423-1818
Is Sole Proprietor?:No
Enumeration Date:2009-03-28
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006533363LA2200X
CT6533363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health