Provider Demographics
NPI:1871627539
Name:HAMMING, ZWAANTJE H (CNP)
Entity type:Individual
Prefix:
First Name:ZWAANTJE
Middle Name:H
Last Name:HAMMING
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 1:200 OCEANGATE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4317
Mailing Address - Country:US
Mailing Address - Phone:562-499-6191
Mailing Address - Fax:562-499-6171
Practice Address - Street 1:1714 SAINT MICHAELS DR # 1
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7617
Practice Address - Country:US
Practice Address - Phone:505-490-4042
Practice Address - Fax:877-846-3680
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR48799163WR0006X
NMCNP 02194363LF0000X
NMCNP-02194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMEFF:6/25/13-ALB/SFMedicaid
NMR48799OtherRN
NMCNP 02194OtherFNP-C LICENSE
NMEFF:06/13/13-SFMedicare PIN
NM297132YZPW-EFF1/1/14Medicare PIN