Provider Demographics
NPI:1548376288
Name:HAMILTON, MARGARET MARY (RN, APN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:71 THE FARM
Mailing Address - Street 2:
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-9627
Mailing Address - Country:US
Mailing Address - Phone:931-964-2326
Mailing Address - Fax:
Practice Address - Street 1:1216 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-6406
Practice Address - Country:US
Practice Address - Phone:931-490-6332
Practice Address - Fax:931-380-3364
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000005974OtherADVANCED PRACTICE NURSE
TNRN0000067596OtherREGISTERED NURSE