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Individual

SUMMER N URBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(318) 464-0623

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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