Provider Demographics
NPI:1770093106
Name:HAMER, ELIZABETH JORDAN (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JORDAN
Last Name:HAMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6000 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-241-2000
Mailing Address - Fax:515-241-2005
Practice Address - Street 1:6000 UNIVERSITY AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-241-2000
Practice Address - Fax:515-241-2005
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA086638363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical