Provider Demographics
NPI:1760425656
Name:HAMILTON, ELAINE RHINE (RN, CPNP, MS MBA)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:RHINE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN, CPNP, MS MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 732
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-0732
Mailing Address - Country:US
Mailing Address - Phone:760-724-8430
Mailing Address - Fax:
Practice Address - Street 1:31830 PASEO LINDO
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-4903
Practice Address - Country:US
Practice Address - Phone:760-724-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA337991163WP0200X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD337991OtherRN LICENSE NUMBER