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NPI Code Detail

MEDICARE: CRYSTAL R HAMMOND APRN-CNM, APRN-CNP

MEDICARE: CRYSTAL R HAMMOND APRN-CNM, APRN-CNP
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
1363LW0102XWomen's Health Nurse PractitionerAPRNCNP020368OH
2363LF0000XFamily Nurse PractitionerAPRNCNP020368OH
3367A00000XAdvanced Practice MidwifeAPRNCNM03296OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154323145
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL R HAMMOND APRN-CNM, APRN-CNP
Provider Business Mailing Address
First Line : 2929 SHRINE RD
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45502-9020
Country : US
Telephone Number : 937-964-1268
Fax Number :
Provider Business Practice Location Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/23/2025

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