Provider Demographics
NPI:1982443511
Name:HAMMER, RUTH MARIE (MSN, RN, IBCLC PHM-C)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MSN, RN, IBCLC PHM-C
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MARIE
Other - Last Name:PLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10505 FLORA AZALEA CT
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5900
Mailing Address - Country:US
Mailing Address - Phone:619-213-2658
Mailing Address - Fax:
Practice Address - Street 1:10505 FLORA AZALEA CT
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5900
Practice Address - Country:US
Practice Address - Phone:619-213-2658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429411163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty