Provider Demographics
NPI:1427576651
Name:HAMMER, MICHELLE LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN
Last Name:HAMMER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LYNN
Other - Last Name:RYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:106 S MAPLE STREET, SUITE 200
Mailing Address - Street 2:PO BOX 544
Mailing Address - City:PLAINVIEW
Mailing Address - State:NE
Mailing Address - Zip Code:68769-4154
Mailing Address - Country:US
Mailing Address - Phone:402-582-4797
Mailing Address - Fax:402-582-3779
Practice Address - Street 1:106 S MAPLE ST STE 200
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NE
Practice Address - Zip Code:68769-4154
Practice Address - Country:US
Practice Address - Phone:402-582-4797
Practice Address - Fax:402-582-3779
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily