Provider Demographics
NPI:1306197454
Name:HAMILTON, CHERYL MELINDA (NMD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MELINDA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 N RHINESTONE DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-6831
Mailing Address - Country:US
Mailing Address - Phone:928-515-2363
Mailing Address - Fax:928-515-2364
Practice Address - Street 1:1237 N RHINESTONE DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-6831
Practice Address - Country:US
Practice Address - Phone:928-515-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12-1327175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath