Individual
KATHY SUMMERS
Active
Individual
KATHY SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO08448700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427076553
—
NJ
Enumeration date
05/04/2012
Last updated
05/04/2012
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