MRS. BRENDA A HAMILTON PNP NPI 1174515936

NPI Information

NPI: 1174515936
Provider Name: MRS. BRENDA A HAMILTON, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4500 SPRING AVE
DALLAS, TX
ZIP 75210
Phone: (214) 670-7664
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MRS. Brenda A Hamilton, PNP is a pediatrics nurse practitioner in Dallas, TX. MRS. Brenda A Hamilton, PNP NPI is 1174515936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 SPRING AVE
DALLAS, TX
ZIP 75210-350
Phone: (214) 670-7664
Fax: (214) 670-8036

The enumeration date for this NPI number is 8/18/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	425599	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04644	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	EPSD
2	0000418	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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