Individual
HEATHER N HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4000 W WOODWAY DR, MUNCIE, IN 47304-4264
(765) 289-5006
(765) 741-4658
Mailing address
4000 W WOODWAY DR, MUNCIE, IN 47304-4264
(765) 289-5006
(765) 741-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000880443
ANTHEM BCBS
IN
05
—
300029579A
—
IN
01
—
IN1953002
MEDICARE
IN
Enumeration date
02/20/2012
Last updated
03/17/2021
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