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NPI Code Detail

MEDICARE: REXANN HAMMONS LPN

MEDICARE:   REXANN  HAMMONS  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse316896-31WI

General Provider Information

NPI Number : 1518398999
Entity Type Code : Individual
Provider Name (Legal Business Name) : REXANN HAMMONS LPN
Provider Business Mailing Address
First Line : 605 W BRIAR LN
Second Line : APT 223
City : GREEN BAY
State : WI
Zip : 54301-1367
Country : US
Telephone Number : 920-569-9911
Fax Number :
Provider Business Practice Location Address
First Line : 605 W BRIAR LN
Second Line : APT 223
City : GREEN BAY
State : WI
Zip : 54301-1367
Country : US
Telephone Number : 920-569-9911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 12/10/2013

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Directions to “ REXANN HAMMONS LPN” Practice Location

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