MEDICARE: ELYSE HAMMETT 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	TAP2439	AZ
2	363LC0200X	Critical Care Medicine Nurse Practitioner	AP2439	AZ
3	363L00000X	Nurse Practitioner	AP2439	TX
4	363LF0000X	Family Nurse Practitioner	AP2439	AZ

General Provider Information

NPI Number	:	1831103159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELYSE HAMMETT FNP

Provider Business Mailing Address
First Line	:	PO BOX 43160
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5295 E KNIGHT DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2147
Country	:	US
Telephone Number	:	520-382-5972
Fax Number	:	520-445-7727

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	03/05/2026

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