Individual
SUSAN R SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-8541
(419) 480-1340
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-8541
(419) 480-1340
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
08141
OH
363LA2200X
Adult Health Nurse Practitioner
NP08087
OH
367A00000X
Advanced Practice Midwife
Primary
NM-08141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363075
ANTHEM
OH
01
—
05225
PARAMOUNT
OH
05
—
2543233
—
OH
01
—
344428256
FRONTPATH
OH
05
—
4702342
—
MI
05
—
4702351
—
MI
Enumeration date
07/14/2005
Last updated
11/03/2023
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