Provider Demographics
NPI:1508434093
Name:HAMILTON, PAULA M (RN BSN MS FNP-C)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN BSN MS FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 LIGONIER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-3176
Mailing Address - Country:US
Mailing Address - Phone:724-672-0008
Mailing Address - Fax:
Practice Address - Street 1:119 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6990
Practice Address - Country:US
Practice Address - Phone:724-672-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN644882163W00000X
PASP023796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse