Provider Demographics
NPI:1972507424
Name:HAMILTON, JOSHUA M (RN, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:RN, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 INNISBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1225
Mailing Address - Country:US
Mailing Address - Phone:702-281-3737
Mailing Address - Fax:702-302-4161
Practice Address - Street 1:9205 W RUSSELL RD STE 240
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1425
Practice Address - Country:US
Practice Address - Phone:702-289-4883
Practice Address - Fax:702-302-4161
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN001009363LF0000X, 363LP0808X
WY19498.278363LF0000X
MECNP231609363LP0808X
AZ223685363LP0808X
MN5738363LP0808X
OR10008793363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY20223Medicare PIN
WYQ41799Medicare UPIN