Individual
PRISCILLA SUMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 ADVENTURELAND DR NW, ALTOONA, IA 50009-4234
(515) 727-7897
Mailing address
6565 WISTFUL VISTA DR APT 2206, WEST DES MOINES, IA 50266-8621
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
160959
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160959
APRN LICENSE NUMBER
IA
Enumeration date
11/06/2020
Last updated
11/06/2020
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