Provider Demographics
NPI:1841612850
Name:HAMMER, EMILY SUZANNE (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SUZANNE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PROGRESS POINT PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-2206
Mailing Address - Country:US
Mailing Address - Phone:636-926-0404
Mailing Address - Fax:636-477-6646
Practice Address - Street 1:20 PROGRESS POINT PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2206
Practice Address - Country:US
Practice Address - Phone:636-926-0404
Practice Address - Fax:636-477-6646
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013043334363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health