Provider Demographics
NPI:1619448651
Name:HAMEL, CAROLYN CLAIRE
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:CLAIRE
Last Name:HAMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86009 FAITH AVE
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-3246
Mailing Address - Country:US
Mailing Address - Phone:904-864-4698
Mailing Address - Fax:904-225-5320
Practice Address - Street 1:86009 FAITH AVE
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-3246
Practice Address - Country:US
Practice Address - Phone:904-864-4698
Practice Address - Fax:904-225-5320
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant