Provider Demographics
NPI:1417509688
Name:HAMMER, KATHRYN (APRN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:HAMMER
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 E WHITESTONE BLVD STE 2104
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9079
Mailing Address - Country:US
Mailing Address - Phone:512-260-8100
Mailing Address - Fax:
Practice Address - Street 1:1464 E WHITESTONE BLVD STE 2104
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9079
Practice Address - Country:US
Practice Address - Phone:512-260-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138353363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care