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Individual

ANGELA R HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
Mailing address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-009264
IL
363LF0000X
Family Nurse Practitioner
71002088A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000391742
ANTHEM
05
200811970A
IN
05
200811970D
IN
05
200811970N
IN
01
P00403874
RAILROAD MEDICARE PIN
01
P00818715
RAILROAD MEDICARE
IN
Enumeration date
08/20/2006
Last updated
01/21/2014
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