Individual
ANDREA HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W JACKSON ST STE 206, CARBONDALE, IL 62901-1474
(184) 573-0066
(618) 457-3007
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025636
IL
Other
Enumeration date
08/09/2022
Last updated
02/10/2025
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