Individual
MARANDA LYNN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
110 N 175TH ST, OMAHA, NE 68118-3582
(402) 955-5437
(402) 955-7310
Mailing address
110 N 175TH ST, OMAHA, NE 68118-3582
(402) 955-5437
(402) 955-7310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
C175679
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
115105
NE
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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