| Doctor Name: | MRS. TRACI JEAN HAMMEL |
| NPI Number: | 1134452733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN207750 |
| Business Practice Address: | 6480 Old Waterloo Rd Elkridge, MD - 210756508 |
| Business Phone Number: | 3055883546 |
| Business Fax Number: | |
| Mailing Address: | 5832 Wyndham Cir Apt 204, COLUMBIA |
| State: | MD |
| Postal Code: | 210443166 |
| Phone Number: | 3055883546 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN207750 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |