Individual
MIA SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
Mailing address
100 E PENN SQ, THE WANAMAKER BLDG., 9TH FL. N., PHILADELPHIA, PA 19107-3323
(267) 425-9320
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN625360
PA
Other
Enumeration date
03/15/2017
Last updated
05/12/2022
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