Hamilton, Deasha Juantia

Hamilton, Deasha Juantia is an individual health care provider with primary practice located at 1140 Lexington Rd , Georgetown KY 40324-9330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hamilton, Deasha Juantia can be contacted via phone (859) 268-1030.

Contact Information

Primary practice address
1140 Lexington Rd Georgetown KY 40324-9330
Phone: (859) 268-1030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3015441 Kentucky

Profile Details

NPI number 1457953895
LBN Legal business name Hamilton, Deasha Juantia
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457953895 NPPES
Kentucky Other 3015441 KENTUCKY BOARD OF NURSING LICENSURE

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