Provider Demographics
NPI:1871478628
Name:HAMLET, DEVONA M (LPN)
Entity type:Individual
Prefix:
First Name:DEVONA
Middle Name:M
Last Name:HAMLET
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2956 SAHARA AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-3614
Mailing Address - Country:US
Mailing Address - Phone:330-949-9712
Mailing Address - Fax:
Practice Address - Street 1:2956 SAHARA AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-3614
Practice Address - Country:US
Practice Address - Phone:330-949-9712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH173623164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse