Provider Demographics
NPI:1013655810
Name:HAMILTON, CAROL (RN, BSN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:FIFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:8 LITTLE DOE RUN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-8883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:97 W PARKWAY
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1647
Practice Address - Country:US
Practice Address - Phone:973-831-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09046300163W00000X
PACERTIFICATE163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse