Provider Demographics
NPI:1306178645
Name:HAMM, DARCY LYNN (RN)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:LYNN
Last Name:HAMM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:LYNN
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6688 STEPHANS RD
Mailing Address - Street 2:
Mailing Address - City:SARDINIA
Mailing Address - State:OH
Mailing Address - Zip Code:45171-9771
Mailing Address - Country:US
Mailing Address - Phone:513-490-1676
Mailing Address - Fax:937-446-1609
Practice Address - Street 1:6688 STEPHANS RD
Practice Address - Street 2:
Practice Address - City:SARDINIA
Practice Address - State:OH
Practice Address - Zip Code:45171-9771
Practice Address - Country:US
Practice Address - Phone:513-490-1676
Practice Address - Fax:937-446-1609
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH344532163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse