Individual
MRS. CONNIE NICOLE HAMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
214 CR 387, NACOGDOCHES, TX 75961
(936) 652-0450
Mailing address
214 CR 387, NACOGDOCHES, TX 75961
(193) 662-5045
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
193119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193119
LVN
TX
Enumeration date
08/29/2018
Last updated
08/29/2018
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