Provider Demographics
NPI:1831595578
Name:HAMMON, KARENA (CRNP)
Entity type:Individual
Prefix:
First Name:KARENA
Middle Name:
Last Name:HAMMON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 LINGLESTOWN RD
Mailing Address - Street 2:STE 160-A
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9499
Mailing Address - Country:US
Mailing Address - Phone:717-541-8066
Mailing Address - Fax:717-671-9157
Practice Address - Street 1:2151 LINGLESTOWN RD
Practice Address - Street 2:STE 160-A
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9499
Practice Address - Country:US
Practice Address - Phone:717-541-8066
Practice Address - Fax:717-671-9157
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily