| Doctor Name: | PHYLLIS ANN HAMMER |
| NPI Number: | 1033215850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-FNP |
| License Number: | 37013 |
| Business Practice Address: | 1401 E Pearl St Harrisville, WV - 263629759 |
| Business Phone Number: | 3046432957 |
| Business Fax Number: | 3046432958 |
| Mailing Address: | 686 S Pike St, Ste A SHINNSTON |
| State: | WV |
| Postal Code: | 264311043 |
| Phone Number: | 3046244655 |
| Fax Number: | 3046243918 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 37013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |