MEDICARE: KATHERINE ANNE HAMMER

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	363LA2200X	Adult Health Nurse Practitioner	APRN11041243	FL

General Provider Information

NPI Number	:	1720961352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANNE HAMMER

Provider Business Mailing Address
First Line	:	25701 OLD GASLIGHT DR
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-8895
Country	:	US
Telephone Number	:	239-293-0150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 CROSSPOINTE DR STE 1
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-0950
Country	:	US
Telephone Number	:	239-799-6950
Fax Number	:

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

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	11/03/2025

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