Provider Demographics
NPI:1770370223
Name:HAMMER, LINDA CAROL (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:HAMMER
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6581 SUMMER SHORES DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-7001
Mailing Address - Country:US
Mailing Address - Phone:616-430-3377
Mailing Address - Fax:
Practice Address - Street 1:1551 MARTIN LUTHER KING JR ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-8203
Practice Address - Country:US
Practice Address - Phone:616-452-1568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704254405363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care