MEDICARE: AIMEE HAMM FNP

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
1	363LF0000X	Family Nurse Practitioner	71007413A	IN

General Provider Information

NPI Number	:	1508383803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE HAMM FNP

Provider Business Mailing Address
First Line	:	600 IRONWOOD DR STE M
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-8324
Country	:	US
Telephone Number	:	317-526-8576
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 IRONWOOD DR STE M
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-8324
Country	:	US
Telephone Number	:	317-526-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	01/31/2025

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