Provider Demographics
NPI:1689155723
Name:HAMMERMEISTER, MEGAN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:HAMMERMEISTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 STUDENT ST
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-2938
Mailing Address - Country:US
Mailing Address - Phone:937-859-5121
Mailing Address - Fax:937-859-2775
Practice Address - Street 1:5995 STUDENT ST
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-2938
Practice Address - Country:US
Practice Address - Phone:937-859-5121
Practice Address - Fax:937-859-2775
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.164843.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse