Provider Demographics
NPI:1427112523
Name:HAMILTON, DEAN A (ARNP)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:A
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2499
Mailing Address - Country:US
Mailing Address - Phone:206-744-3347
Mailing Address - Fax:206-744-9331
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-3347
Practice Address - Fax:206-744-9331
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006645363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9643164Medicaid
WA0194270OtherLABOR AND INDUSTRIES
WA0194270OtherLABOR AND INDUSTRIES
Q31121Medicare UPIN