Provider Demographics
NPI:1467938977
Name:HAMILTON, ABIGAIL FAYE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:FAYE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ABIGAIL
Other - Middle Name:FAYE
Other - Last Name:GREUBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:621 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHARITON
Mailing Address - State:IA
Mailing Address - Zip Code:50049-2541
Mailing Address - Country:US
Mailing Address - Phone:641-203-2848
Mailing Address - Fax:
Practice Address - Street 1:1200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHARITON
Practice Address - State:IA
Practice Address - Zip Code:50049-1210
Practice Address - Country:US
Practice Address - Phone:641-774-8103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA130676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily