Hammond, Marilyn

Hammond, Marilyn is an individual health care provider with primary practice located at 239 Cranston St , Providence RI 02907-2406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hammond, Marilyn can be contacted via phone (401) 444-0580.

Contact Information

Primary practice address
239 Cranston St Providence RI 02907-2406
Fax: (401) 444-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPP14832 Rhode Island

Profile Details

NPI number 1891786745
LBN Legal business name Hammond, Marilyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891786745 NPPES
Rhode Island MEDICAID MH08882

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