Provider Demographics
NPI:1437421187
Name:HAMMILL, ROSEMARIE ANN (LPN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:ANN
Last Name:HAMMILL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7506 CANTERBURY RD
Mailing Address - Street 2:APT 50
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4679
Mailing Address - Country:US
Mailing Address - Phone:515-309-1947
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:BLDG 5
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAP52745164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse