Provider Demographics
NPI:1275563074
Name:HAMLIN, ERIN R (PA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:MALISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1 MERCADO ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7306
Mailing Address - Country:US
Mailing Address - Phone:970-385-7272
Mailing Address - Fax:970-385-7299
Practice Address - Street 1:1 MERCADO ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7306
Practice Address - Country:US
Practice Address - Phone:970-385-7272
Practice Address - Fax:970-385-7299
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2193363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical