Provider Demographics
NPI:1841991007
Name:HIMMEL, ELIZA ANNE (MS)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:ANNE
Last Name:HIMMEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 HAWKESBURY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-2426
Mailing Address - Country:US
Mailing Address - Phone:804-405-8616
Mailing Address - Fax:
Practice Address - Street 1:2504 HAWKESBURY CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-2426
Practice Address - Country:US
Practice Address - Phone:804-405-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program