Provider Demographics
NPI:1831674183
Name:HAMMER, JULIE MARIE (NP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:LIMBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-1318
Mailing Address - Fax:
Practice Address - Street 1:1415 PORTLAND AVE STE 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3039
Practice Address - Country:US
Practice Address - Phone:585-922-4496
Practice Address - Fax:585-922-4442
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343623363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner