Individual
DEBORAH LYNN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7801
(317) 621-7205
Mailing address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7801
(317) 621-7205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71000419A
LICENSE
IN
Enumeration date
06/05/2008
Last updated
06/05/2008
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