Individual
SOMMER PORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 S BROAD ST, SCOTTSBORO, AL 35768-2605
(256) 218-4080
Mailing address
1302 S BROAD ST, SCOTTSBORO, AL 35768-2605
(256) 218-4080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-090211
AL
Other
Enumeration date
12/31/2015
Last updated
05/13/2020
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