Provider Demographics
NPI:1609543495
Name:HAMLIN, HEATHER (CNM)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 SAN FRANCISCO BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-3060
Mailing Address - Country:US
Mailing Address - Phone:916-276-9125
Mailing Address - Fax:
Practice Address - Street 1:5200 SAN FRANCISCO BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-3060
Practice Address - Country:US
Practice Address - Phone:916-276-9125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife