Provider Demographics
NPI:1295217388
Name:HAMMARSTROM, ABBIE LENA (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:LENA
Last Name:HAMMARSTROM
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WINGED FOOT DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9333
Mailing Address - Country:US
Mailing Address - Phone:908-216-2618
Mailing Address - Fax:
Practice Address - Street 1:12 WINGED FOOT DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9333
Practice Address - Country:US
Practice Address - Phone:908-216-2618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL-137406163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty