Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | MCS001397B | MA |
NPI | 1740840610 |
---|---|
Provider Name | Carol Noel Hamilton |
First Address | Taunton, MA 02780-3960 |
Second Address | Taunton, MA 02780-3960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2019 |
Last Update Date | 20/11/2020 |