Provider Demographics
NPI:1164238929
Name:HAMMOND, CHAYDA (LPN)
Entity type:Individual
Prefix:
First Name:CHAYDA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5533 S DIMPLE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-2301
Mailing Address - Country:US
Mailing Address - Phone:972-330-9160
Mailing Address - Fax:
Practice Address - Street 1:5533 S DIMPLE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-2301
Practice Address - Country:US
Practice Address - Phone:972-330-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229406164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse