Individual
SUMMER N URBAN
Active
Individual
SUMMER N URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
964135
TX
367500000X
Certified Registered Nurse Anesthetist
0001293679
VA
367500000X
Certified Registered Nurse Anesthetist
0024179332
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
1152329
TX
Other
Enumeration date
01/29/2020
Last updated
07/15/2024
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