Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | UO3890 | FL |
NPI | 1003225954 |
---|---|
Provider Name | Patricia N Hammer |
First Address | Nellis Afb, NV 89191 |
Second Address | Nellis Afb, NV 89191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 01/08/2019 |