Provider Demographics
NPI:1932258431
Name:HAMILTON, DEBBIE SUE (CNM)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:SUE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 NORTH BUBBLINGWELL DR
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741
Mailing Address - Country:US
Mailing Address - Phone:626-914-5076
Mailing Address - Fax:
Practice Address - Street 1:13429 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-3435
Practice Address - Country:US
Practice Address - Phone:562-777-7062
Practice Address - Fax:156-277-8093
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1220367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife