Individual
COLLEEN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
871 SW STATE ROAD 47, LAKE CITY, FL 32025-0433
(386) 755-5044
(386) 755-2518
Mailing address
PO BOX 606, GLEN ST MARY, FL 32040-0606
(904) 653-1818
(904) 653-1814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217710
NC
363L00000X
Nurse Practitioner
Primary
ARNP9317193
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9317193
FL
Other
Enumeration date
12/01/2009
Last updated
01/14/2011
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