Individual
DOROTHY LEE SUMMERLIN- GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8051 S EMERSON AVE STE 150, INDIANAPOLIS, IN 46237-8635
(317) 865-2955
(317) 865-2954
Mailing address
5955 CLAYBOURNE DR, BARGERSVILLE, IN 46106-8391
(317) 966-5576
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28151003C
IN
367500000X
Certified Registered Nurse Anesthetist
303499
OH
367500000X
Certified Registered Nurse Anesthetist
3420422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425840
—
IN
05
—
2436813
—
OH
Enumeration date
05/19/2006
Last updated
02/05/2026
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