Provider Demographics
NPI:1205196615
Name:HAMMONDS, ERIC N
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:N
Last Name:HAMMONDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12117 MENAUL BLVD NE
Mailing Address - Street 2:APT 1
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2482
Mailing Address - Country:US
Mailing Address - Phone:505-225-6213
Mailing Address - Fax:
Practice Address - Street 1:12117 MENAUL BLVD NE
Practice Address - Street 2:APT 1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2482
Practice Address - Country:US
Practice Address - Phone:505-225-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist