Provider Demographics
NPI:1316698871
Name:HAMMERLUND, AMBER JO (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:JO
Last Name:HAMMERLUND
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:JO
Other - Last Name:HAMMERLUND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:608 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-2123
Mailing Address - Country:US
Mailing Address - Phone:218-360-9759
Mailing Address - Fax:
Practice Address - Street 1:608 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2123
Practice Address - Country:US
Practice Address - Phone:218-360-9759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR189962-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice