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Individual
SUMMER ANN KIRTLEY
Active
Individual
SUMMER ANN KIRTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNS
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
639490
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
21777
CA
364SP0200X
Pediatric Clinical Nurse Specialist
4447
CA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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