Provider Demographics
NPI:1780403048
Name:HAMPTON, DREW ELISABETH (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:ELISABETH
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 W POISON SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-5028
Mailing Address - Country:US
Mailing Address - Phone:479-403-8136
Mailing Address - Fax:
Practice Address - Street 1:ROLLER WEIGHT LOSS AND ADVANCED SURGERY
Practice Address - Street 2:1695 E. RAINFOREST RD.
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-445-6460
Practice Address - Fax:479-445-6719
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR216512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily