Healthcare Provider Details

I. General information

NPI: 1568500577
Provider Name (Legal Business Name): N. SUSAN HAMMERTON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E LOUISIANA AVE
DENVER CO
80210-1810
US

IV. Provider business mailing address

2671 JULIAN ST
DENVER CO
80211-4022
US

V. Phone/Fax

Practice location:
  • Phone: 720-423-6260
  • Fax:
Mailing address:
  • Phone: 720-219-5809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number90459
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: