Individual
REBECCA HAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
Mailing address
6300 ADAMS RD, NEW PLYMOUTH, ID 83655-5109
(208) 989-3896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60605
ID
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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