Provider Demographics
NPI:1508627654
Name:HAMILTON, ROMANI (LPN)
Entity Type:Individual
Prefix:
First Name:ROMANI
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ROMANI
Other - Middle Name:
Other - Last Name:PEDRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9999 W KATIE AVE UNIT 1065
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8361
Mailing Address - Country:US
Mailing Address - Phone:626-534-7766
Mailing Address - Fax:
Practice Address - Street 1:3930 HOWARD HUGHES PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0946
Practice Address - Country:US
Practice Address - Phone:702-560-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLPN16520164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse