Provider Demographics
NPI:1922098912
Name:HAMMER, JUDITH DAY (NP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:DAY
Last Name:HAMMER
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 1:2616 NW 63RD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2453
Mailing Address - Country:US
Mailing Address - Phone:206-789-7172
Mailing Address - Fax:
Practice Address - Street 1:4500 9TH AVE NE
Practice Address - Street 2:SUITE 324
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4737
Practice Address - Country:US
Practice Address - Phone:206-632-2498
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001201363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8235020Medicaid
WA7119308Medicaid
HA0840OtherREGENCE BLUE SHIELD
HA0840OtherREGENCE BLUE SHIELD
AB11822Medicare ID - Type Unspecified