Individual
PHYLLIS ANN HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
1401 E PEARL ST, HARRISVILLE, WV 26362-9759
(304) 643-2957
(304) 643-2958
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
37013
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105082000
—
WV
Enumeration date
09/16/2006
Last updated
11/15/2007
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