Provider Demographics
NPI:1598538779
Name:HAMMER, ALEXANDRA EVELYN
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:EVELYN
Last Name:HAMMER
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 1:1080 MANORHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6809
Mailing Address - Country:US
Mailing Address - Phone:610-513-7727
Mailing Address - Fax:
Practice Address - Street 1:1080 MANORHAVEN DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6809
Practice Address - Country:US
Practice Address - Phone:610-513-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC360241163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics