Individual
MS. PAIGE MICHELLE AHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
221 W HIBISCUS BLVD, SUITE 401, MELBOURNE, FL 32901-3044
(321) 258-9642
(321) 821-5365
Mailing address
221 W HIBISCUS BLVD, SUITE 401, MELBOURNE, FL 32901-3044
(321) 258-9642
(321) 821-5365
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2838892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MR540
MEDICARE PTAN
FL
Enumeration date
04/19/2007
Last updated
07/10/2020
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