Provider Demographics
NPI:1104111947
Name:HAMILTON, VIVIAN (NP)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:435 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3152
Mailing Address - Country:US
Mailing Address - Phone:720-823-0123
Mailing Address - Fax:303-953-2312
Practice Address - Street 1:435 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3152
Practice Address - Country:US
Practice Address - Phone:720-823-0123
Practice Address - Fax:303-630-3953
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007198111N00000X
COAPN.0996798-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor