Provider Demographics
NPI:1518423797
Name:HAMMEL, CRISTA JO
Entity Type:Individual
Prefix:
First Name:CRISTA
Middle Name:JO
Last Name:HAMMEL
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 1:11 HILLTOP PLZ
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-8905
Mailing Address - Country:US
Mailing Address - Phone:724-545-8420
Mailing Address - Fax:724-545-7426
Practice Address - Street 1:11 HILLTOP PLZ
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8905
Practice Address - Country:US
Practice Address - Phone:724-545-8420
Practice Address - Fax:724-545-7426
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN293241164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse