Miss Etta Leora Hammie, LVN is a
Licensed Practical Nurse based in Ft. Worth, Texas. Miss Etta Leora Hammie is licensed to practice in Texas (license number 171393) and her current practice location is
2327 Oakland Blvd, Ft. Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 984-1496.
NPI number for Miss Etta Leora Hammie is 1265819916 and her current mailing address is 1012 Skyline Dr, Apt 1412, Arlington, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265819916.
Provider's Profile
| Full Name | Miss Etta Leora Hammie |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 2327 Oakland Blvd, Ft. Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265819916
- Provider Enumeration Date: 05/01/2015
- Last Update Date: 05/01/2015
Medical Identifiers
Medical identifiers for Miss Etta Leora Hammie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265819916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 171393 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Etta Leora Hammie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Etta Leora Hammie, LVN
1012 Skyline Dr, Apt 1412,
Arlington, TX 76011-1383
Ph: (817) 298-9792 | Miss Etta Leora Hammie, LVN
2327 Oakland Blvd,
Ft. Worth, TX 76011
Ph: (817) 984-1496 |
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