Provider Demographics
NPI:1972796522
Name:HAMMONTREE, RODNEY GLYN (RN)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:GLYN
Last Name:HAMMONTREE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 LIANNA LN
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-1888
Mailing Address - Country:US
Mailing Address - Phone:850-479-7280
Mailing Address - Fax:
Practice Address - Street 1:3016 LIANNA LN
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-1888
Practice Address - Country:US
Practice Address - Phone:850-479-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR53225163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics