Provider Demographics
NPI:1609957570
Name:HAMILTON-POWELL, BILLIE (RN,PA-C, CNM)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:
Last Name:HAMILTON-POWELL
Suffix:
Gender:F
Credentials:RN,PA-C, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1189
Mailing Address - Country:US
Mailing Address - Phone:301-618-2242
Mailing Address - Fax:
Practice Address - Street 1:901 HARRY S TRUMAN DR N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5477
Practice Address - Country:US
Practice Address - Phone:240-677-2300
Practice Address - Fax:240-677-0066
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR100750367A00000X
VA0024167973367A00000X
WAPA10004286363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical