Courtney A Hamilton, RN, WCC, CRRN

Individual provider Active NPI Long-Term Care Clinical Nurse Specialist · Lexington, KY

NPI 1669049482 · NPPES record last updated Jun 9, 2021

Key facts

NPI
1669049482
Entity type
Individual (NPI type 1)
Primary specialty
Long-Term Care Clinical Nurse Specialist 364SL0600X
License
1093395 (KY)
Practice address
2710 Man O War Blvd
Lexington, KY 40515-3801
Phone
(859) 273-0088
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1093395KYMDLong-Term Care Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse Specialist 364SL0600X 1093395 KY Yes

Addresses

Primary practice location

2710 Man O War Blvd
Lexington, KY 40515-3801

Mailing address

1025 Celia LN
Lexington, KY 40504-2203
Phone (859) 230-3469

Other providers in Lexington, KY

All providers in Lexington, KY · Long-Term Care Clinical Nurse Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.