Provider Demographics
NPI:1538801642
Name:HAMILTON, AMBER L (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:L
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LYNN
Other - Last Name:GOODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 WIDGEON CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8092
Mailing Address - Country:US
Mailing Address - Phone:757-777-8104
Mailing Address - Fax:
Practice Address - Street 1:601 INNOVATION DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3869
Practice Address - Country:US
Practice Address - Phone:757-668-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183882363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care