Provider Demographics
NPI:1740464569
Name:HAMMOND, SHEILA NAAJAH
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:NAAJAH
Last Name:HAMMOND
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 1:1989 BATHGATE AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4406
Mailing Address - Country:US
Mailing Address - Phone:718-294-3072
Mailing Address - Fax:
Practice Address - Street 1:1989 BATHGATE AVE
Practice Address - Street 2:APT 1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4406
Practice Address - Country:US
Practice Address - Phone:718-294-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281267-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse