Provider Demographics
NPI:1366227514
Name:HAMMOURI, EMILY ERIN (CNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ERIN
Last Name:HAMMOURI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5837 FORTROSE CIR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4310
Mailing Address - Country:US
Mailing Address - Phone:216-543-5123
Mailing Address - Fax:
Practice Address - Street 1:5837 FORTROSE CIR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4310
Practice Address - Country:US
Practice Address - Phone:216-543-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty