Individual
MS. MARY B HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8671 S QUEBEC ST, STE 200, HIGHLANDS RANCH, CO 80130-5859
(303) 683-5620
(303) 683-5609
Mailing address
1065 NE 125TH ST, SUITE 409, NORTH MIAMI, FL 33161-5821
(888) 852-6672
(305) 503-7363
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60824
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91923786
—
CO
Enumeration date
12/01/2006
Last updated
03/17/2015
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