Provider Demographics
NPI:1871566422
Name:HAMMER, CECILLE M (CRNA)
Entity type:Individual
Prefix:
First Name:CECILLE
Middle Name:M
Last Name:HAMMER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CECILLE
Other - Middle Name:M
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 851417
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-1417
Mailing Address - Country:US
Mailing Address - Phone:251-342-3000
Mailing Address - Fax:251-342-3043
Practice Address - Street 1:701 PRINCETON AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1303
Practice Address - Country:US
Practice Address - Phone:334-386-2051
Practice Address - Fax:334-481-1200
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1057088367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000051878Medicaid
AL430056774OtherMEDICARE TRAVELERS IND
ALCN0216OtherMEDICARE TRAVELERS
AL430056774OtherMEDICARE TRAVELERS IND
AL000051878Medicaid