Provider Demographics
NPI:1700802659
Name:HEMMER, CHRISTOPHER (ANP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:HEMMER
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790379
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63179-0379
Mailing Address - Country:US
Mailing Address - Phone:636-229-5900
Mailing Address - Fax:636-229-5011
Practice Address - Street 1:112 PIPER HILL DR
Practice Address - Street 2:SUITE 6
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1690
Practice Address - Country:US
Practice Address - Phone:636-229-5900
Practice Address - Fax:636-229-5011
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO138546363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO425961505Medicaid
S95725Medicare UPIN
MOMA1395001Medicare PIN
MO000080538Medicare PIN
MO425961505Medicaid
MO81642470Medicare PIN