Provider Demographics
NPI:1366815102
Name:HAMMER, CIARA LUCINDA (FNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:LUCINDA
Last Name:HAMMER
Suffix:
Gender:F
Credentials:FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-473-0181
Mailing Address - Fax:812-473-5822
Practice Address - Street 1:4727 ROSEBUD LN
Practice Address - Street 2:SUITE D
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9367
Practice Address - Country:US
Practice Address - Phone:812-490-5200
Practice Address - Fax:812-490-5203
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28192121A163WG0000X
IN71006053A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0116702OtherBOARD CERTIFICATION- AANP
IN201346120Medicaid
KY7100403070Medicaid
IN71006053BOtherCSR
INP01616062OtherRAILROAD MEDICARE
IN000000996591OtherANTHEM BCBS
INPMORRIS2016OtherLICENSE
INPMORRIS2016OtherLICENSE
IN237610003Medicare PIN