Provider Demographics
NPI:1275798852
Name:HAMMER, TAMARA SCHORR (NP, CNS)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:SCHORR
Last Name:HAMMER
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Gender:F
Credentials:NP, CNS
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Mailing Address - Street 1:7 CHRISTY DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1843
Mailing Address - Country:US
Mailing Address - Phone:508-580-4611
Mailing Address - Fax:508-580-4404
Practice Address - Street 1:7 CHRISTY DR
Practice Address - Street 2:SUITE 3
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1843
Practice Address - Country:US
Practice Address - Phone:508-580-4611
Practice Address - Fax:508-580-4404
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
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Provider Licenses
StateLicense IDTaxonomies
MA255002363LA2200X, 363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health