Provider Demographics
NPI:1568500577
Name:HAMMERTON, N. SUSAN (NP)
Entity Type:Individual
Prefix:MS
First Name:N. SUSAN
Middle Name:
Last Name:HAMMERTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2671 JULIAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4022
Mailing Address - Country:US
Mailing Address - Phone:720-219-5809
Mailing Address - Fax:
Practice Address - Street 1:1700 E LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1810
Practice Address - Country:US
Practice Address - Phone:720-423-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO90459363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool