Provider Demographics
NPI:1386669885
Name:HAMMERGREN, DARREN J (NP)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:J
Last Name:HAMMERGREN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5920 E PIMA ST STE 140
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4380
Mailing Address - Country:US
Mailing Address - Phone:520-747-2861
Mailing Address - Fax:520-733-3444
Practice Address - Street 1:5920 E PIMA ST STE 140
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4380
Practice Address - Country:US
Practice Address - Phone:520-747-2861
Practice Address - Fax:520-733-3444
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN108557163WP0809X
AZAP 2617363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult