Doctor Name: | MATTHEW HAMMER |
NPI Number: | 1144659632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 2008021336 |
Business Practice Address: | 2022 Dorsett Vlg Maryland Heights, MO - 630432208 |
Business Phone Number: | 3145900520 |
Business Fax Number: | |
Mailing Address: | 2022 Dorsett Vlg, MARYLAND HEIGHTS |
State: | MO |
Postal Code: | 630432208 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 2008021336 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |