Individual
GRACE ELIZABETH HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 I ST, LA PORTE, IN 46350-5533
(219) 324-1700
(219) 324-1602
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28264562A
IN
363LF0000X
Family Nurse Practitioner
Primary
71016873A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300119930
—
IN
Enumeration date
06/06/2025
Last updated
10/16/2025
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