Provider Demographics
NPI:1174272876
Name:HAMM, MARTHA G (RN)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:G
Last Name:HAMM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2801
Mailing Address - Country:US
Mailing Address - Phone:781-224-3600
Mailing Address - Fax:781-224-3019
Practice Address - Street 1:45 ALBION ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2801
Practice Address - Country:US
Practice Address - Phone:781-224-3600
Practice Address - Fax:781-224-3019
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN146270163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health