Provider Demographics
NPI:1669274700
Name:HAMILTON, VICTORIA RACHELLE (NP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RACHELLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50701 WASHINGTON ST APT 613
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2473
Mailing Address - Country:US
Mailing Address - Phone:760-399-2821
Mailing Address - Fax:
Practice Address - Street 1:380 E PASEO EL MIRADOR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4842
Practice Address - Country:US
Practice Address - Phone:760-323-6316
Practice Address - Fax:760-323-6531
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95034538363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner