Individual provider · NPI-1

Connie Hammond

Emergency Medicine · Peoria, AZ

NPI number1376096024
StatusActive
Last updated in NPPESOct 29, 2021

Details

NPI
1376096024
Entity type
Individual (NPI-1)
Name
Connie Hammond
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2016
Certification date
Oct 29, 2021
Last updated
Oct 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineAP8713AZYes
363L00000X Nurse PractitionerAP8713AZ
207Q00000X Family MedicineAP8713AZ

Practice location

7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083

Phone 623-547-6838

Mailing address

7615 W Thunderbird Rd
Ste 106
Peoria, AZ 85381-6083

Phone 623-547-6838

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