Individual
DYAN J SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MPH
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNENTONKA, MN 55343
(646) 319-3707
Mailing address
749 LINDEN PL, IDAHO FALLS, ID 83401-4966
(646) 319-3707
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
441410-1
NY
163WH0200X
Home Health Registered Nurse
53753
ID
363L00000X
Nurse Practitioner
Primary
125717
MT
363LA2200X
Adult Health Nurse Practitioner
125717
MT
363LA2200X
Adult Health Nurse Practitioner
14903
CA
363LA2200X
Adult Health Nurse Practitioner
303234
NY
363LA2200X
Adult Health Nurse Practitioner
53753
ID
Other
Enumeration date
01/10/2008
Last updated
04/15/2021
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