Individual provider · Type 1 NPI
Cheryl V. Hamilton, AGACNP-BC
Gerontology Nurse Practitioner · Kennett, MO
NPI number
1083122113
Active
Practice location
1051 Jones St
Kennett, MO 63857-3866
Fax (573) 888-0040
Mailing address
622 Collins Dr Ste 200
Festus, MO 63028-2077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2017040911 (MO) |
| Registered Nurse | 163W00000X | 1-083308 (AL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2017044030 (MO) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1083122113
Cheryl V. Hamilton, AGACNP-BC's National Provider Identifier is 1083122113, issued on Jan 10, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kennett, MO. The record was last updated on Jan 10, 2018.