Basic Information
| Provider Information | |||||||||
| NPI: | 1437139961 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMMERSLEY | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | IRVIN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 284 PITTS RD | ||||||||
| Address2: | |||||||||
| City: | CATAWBA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 297047786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7049571033 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | FITZSIMMONS BLVD | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2539682235 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R 30117 | SC | Y | Nursing Service Providers | Registered Nurse |
No ID Information.