Individual
MS. ALICIA D HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1465 S GRAND BLVD, 4TH FLOOR CARDINAL GLENNON, SAINT LOUIS, MO 63104-1003
(314) 457-7567
(314) 268-4163
Mailing address
1008 S SPRING AVE # 3300, SAINT LOUIS, MO 63110-2520
(314) 977-8884
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2000172304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424024701
—
MO
Enumeration date
07/17/2006
Last updated
02/19/2021
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