Provider Demographics
NPI:1346479151
Name:HAMILTON, CHENOA LEA (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:CHENOA
Middle Name:LEA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PARK ST
Mailing Address - Street 2:#3C
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1566
Mailing Address - Country:US
Mailing Address - Phone:503-961-4132
Mailing Address - Fax:802-318-4863
Practice Address - Street 1:5 PARK ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-9341
Practice Address - Country:US
Practice Address - Phone:503-961-4132
Practice Address - Fax:802-318-4863
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1070000045176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife