Individual
MATTHEW HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2022 DORSETT VLG, MARYLAND HEIGHTS, MO 63043-2208
(314) 590-0520
Mailing address
2022 DORSETT VLG, MARYLAND HEIGHTS, MO 63043-2208
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2008021336
MO
363LF0000X
Family Nurse Practitioner
Primary
2013039400
MO
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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