Individual
HEIDI JO SOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-BC
Contact information
Practice address
1131 W NEW HAVEN AVE, MELBOURNE, FL 32904-4110
(321) 434-1744
Mailing address
2530 VIA MILANO CT, MERRITT ISLAND, FL 32953-4118
(321) 693-2838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9269766
FL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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