Provider Demographics
NPI:1497235998
Name:HAMMONDS, AMANDA ALAFAIR
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ALAFAIR
Last Name:HAMMONDS
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 1:305 CLAIREMONT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5348
Mailing Address - Country:US
Mailing Address - Phone:915-549-6576
Mailing Address - Fax:
Practice Address - Street 1:7400 VISCOUNT BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-4828
Practice Address - Country:US
Practice Address - Phone:915-629-9260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX771181163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse