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Individual

SUMMERE HERNDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
81 AUTUMN LEAF DRIVE, NEW CREEK, WV 26743-0012
(304) 788-7733
Mailing address
PO BOX 12, 81 AUTUMN LEAF DRIVE, NEW CREEK, WV 26743-0012
(304) 788-7733

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R189527
MD

Other

Enumeration date
12/01/2015
Last updated
02/18/2016
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