Individual
BEVERLY A. SOMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1311 OSHKOSH ST, NEW LONDON, WI 54961-1641
(920) 982-5236
Mailing address
1311 OSHKOSH ST, NEW LONDON, WI 54961-1641
(920) 982-5236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120496-030
WI
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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