Provider Demographics
NPI:1477125904
Name:HUMMEL, MARA
Entity Type:Individual
Prefix:
First Name:MARA
Middle Name:
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 SILVER PINE LN
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7925
Mailing Address - Country:US
Mailing Address - Phone:419-944-1156
Mailing Address - Fax:
Practice Address - Street 1:THE ARMES FAMILY CANCER CARE CENTER
Practice Address - Street 2:15990 MEDICAL DRIVE S
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-422-9898
Practice Address - Fax:567-429-5079
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029131363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner