Anna Justine Hamernick, N.P
Nurse Practitioner, Family in Phoenix, AZ. Individual provider (NPI-1).
NPI number1699102780
StatusActive
Last updated in NPPESOct 3, 2013
Details
- NPI
- 1699102780
- Entity type
- Individual (NPI-1)
- Name
- Anna Justine Hamernick
- Credential
- N.P
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2013
- Last updated
- Oct 3, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN137493 | AZ | Yes |
Practice location
500 W Thomas RdSuite 230
Phoenix, AZ 85013-4224
Phone 602-406-3362 · Fax 602-728-9225
Mailing address
500 W Thomas RdSuite 230
Phoenix, AZ 85013-4224
Phone 602-406-3362 · Fax 602-728-9225
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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