Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN1012134 | DC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN1012134 | DC |
NPI | 1306127295 |
---|---|
Provider Name | Ms. Cathy Jean Hampton |
First Address | Washington, DC 20064-0001 |
Second Address | Washington, DC 20064-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
054512400 | (05) | DC |
238282YEKW | (02) | DC |