Individual
STEPHEN R HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1299 BERTHA HOWE AVENUE, MESQUITE, NV 89027
(702) 345-4311
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN51473
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
AP107951
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA000286
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0948
—
SC
Enumeration date
04/28/2006
Last updated
06/20/2018
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