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Individual

TINA M HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CRNP

Contact information

Practice address
5999 HARPERS FARM RD, SUITE W 250, COLUMBIA, MD 21044-3013
(410) 772-8822
(410) 772-9274
Mailing address
1589 SULPHUR SPRING RD, SUITE 109, BALTIMORE, MD 21227-2542
(410) 536-5400
(410) 737-2168

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R114405
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
555002500
MD
Enumeration date
07/11/2005
Last updated
11/15/2016
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