Provider Demographics
NPI:1154788008
Name:HAMILTON, NOEL PATRICK (CRNP)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:PATRICK
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:NOEL
Other - Middle Name:PATRICK
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:1150 TAMPA RD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5553
Mailing Address - Country:US
Mailing Address - Phone:610-716-1202
Mailing Address - Fax:
Practice Address - Street 1:1150 TAMPA RD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5553
Practice Address - Country:US
Practice Address - Phone:610-716-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008117363LF0000X, 363LP2300X, 363LP0808X
PARN629742363LF0000X
PASP015973363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care