Individual
CAROLYN SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1039110
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1039110
DC
Other
Enumeration date
10/23/2015
Last updated
04/17/2018
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