Individual
RADENE LYNN HAMLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PN0334444
Contact information
Practice address
1124 E ELIZABETH ST STE 2, FORT COLLINS, CO 80524-4052
(186) 662-8782
Mailing address
1124 E ELIZABETH ST STE 2, FORT COLLINS, CO 80524-4052
(186) 662-8782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0334444
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33-0652655
—
CA
Enumeration date
04/13/2020
Last updated
10/15/2024
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