Provider Demographics
NPI:1437791464
Name:HAMILTON, MARGARET MARLETTE (AGACNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARLETTE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2946
Mailing Address - Country:US
Mailing Address - Phone:260-615-4456
Mailing Address - Fax:
Practice Address - Street 1:121 MEDICAL CENTER DR STE 2550
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2681
Practice Address - Country:US
Practice Address - Phone:207-373-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP191281363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care