Provider Demographics
NPI:1194545780
Name:HAMMETT, ANTINESHIA LA'SHAE
Entity type:Individual
Prefix:MRS
First Name:ANTINESHIA
Middle Name:LA'SHAE
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29347 DETROIT RD APT 3
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1926
Mailing Address - Country:US
Mailing Address - Phone:216-482-6838
Mailing Address - Fax:
Practice Address - Street 1:29347 DETROIT RD APT 3
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1926
Practice Address - Country:US
Practice Address - Phone:216-482-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide