Individual
NADINE MARIE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
Mailing address
505 REMINGTON FALLS RDG, CANTON, GA 30114-6872
(347) 277-7746
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007744
NY
Other
Enumeration date
08/14/2008
Last updated
05/23/2023
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