Individual
MR. DANIEL STEVEN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
890 BRYCE ST, ELKVIEW, WV 25071-9307
(304) 965-0623
Mailing address
890 BRYCE ST, ELKVIEW, WV 25071-9307
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
38343
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
09/05/2007
Last updated
09/05/2007
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