Provider Demographics
NPI:1700034295
Name:HAMMOND, DARIA SNEED (NP)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:SNEED
Last Name:HAMMOND
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 1:4150 LANDER RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1333
Mailing Address - Country:US
Mailing Address - Phone:216-407-0048
Mailing Address - Fax:216-591-1431
Practice Address - Street 1:4150 LANDER RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-1333
Practice Address - Country:US
Practice Address - Phone:216-407-0048
Practice Address - Fax:216-591-1431
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH292467163WH0200X, 163WH1000X
OHCNP022854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2398007Medicaid