Provider Demographics
NPI:1376898551
Name:HAMILTON, STEPHANIE N (RN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:N
Last Name:HAMILTON
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 1:3016 PICKET FENCE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-1639
Mailing Address - Country:US
Mailing Address - Phone:214-284-7399
Mailing Address - Fax:
Practice Address - Street 1:3016 PICKET FENCE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-1639
Practice Address - Country:US
Practice Address - Phone:214-284-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX738855163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX738855OtherRN LICENSE