Healthcare Provider Details

I. General information

NPI: 1851885875
Provider Name (Legal Business Name): VICTORIA ANN HAMER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MAPLE HOLLOW RD
DUNCANSVILLE PA
16635-7920
US

IV. Provider business mailing address

PO BOX 574
DUNCANSVILLE PA
16635-0574
US

V. Phone/Fax

Practice location:
  • Phone: 814-693-2273
  • Fax: 814-693-1191
Mailing address:
  • Phone: 814-693-2273
  • Fax: 814-693-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN224614L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: