MEDICARE: LAURA LYNN HAMMOND 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	333976	AZ

General Provider Information

NPI Number	:	1578422614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LYNN HAMMOND FNP

Provider Business Mailing Address
First Line	:	7865 W BELL RD # 1125
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:	480-375-8310
Fax Number	:	480-631-0617

Provider Business Practice Location Address
First Line	:	7865 W BELL RD # 1125
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3803
Country	:	US
Telephone Number	:	480-375-8310
Fax Number	:	480-631-0617

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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