Individual
ANNIE E SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCMHNP
Contact information
Practice address
571 SAINT JOSEPHS BLVD STE 304, ELMIRA, NY 14901-3234
(607) 737-7012
(607) 733-5594
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN704632
PA
363LP0200X
Pediatric Nurse Practitioner
383678
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
383678
NY
Other
Enumeration date
09/26/2019
Last updated
04/16/2025
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