Healthcare Provider Details

I. General information

NPI: 1922098912
Provider Name (Legal Business Name): JUDITH DAY HAMMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 9TH AVE NE SUITE 324
SEATTLE WA
98105-4737
US

IV. Provider business mailing address

2616 NW 63RD ST
SEATTLE WA
98107-2453
US

V. Phone/Fax

Practice location:
  • Phone: 206-632-2498
  • Fax:
Mailing address:
  • Phone: 206-789-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30001201
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: