Individual
SUMMER D MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
100 CAMPUS DR, SUITE 108, SCARBOROUGH, ME 04074-7171
(207) 396-7600
(207) 396-7610
Mailing address
PO BOX 911, BRATTLEBORO, VT 05302-0911
(207) 396-7601
(207) 396-8381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP131126
ME
363L00000X
Nurse Practitioner
R200997-3
MN
363LA2100X
Acute Care Nurse Practitioner
CNP131126
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
ME
05
—
ENROLLED
—
MN
Enumeration date
04/11/2011
Last updated
01/30/2025
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