Provider Demographics
NPI:1740011147
Name:HAMPTON, NICOLE RAE (CD-PIC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:RAE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:CD-PIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5644 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3263
Mailing Address - Country:US
Mailing Address - Phone:520-370-0209
Mailing Address - Fax:
Practice Address - Street 1:5644 E 8TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3263
Practice Address - Country:US
Practice Address - Phone:520-370-0209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula