Individual
BEVERLY E SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1 WELLNESS BLVD, SUITE 203, IRMO, SC 29063-2871
(803) 732-4608
(803) 732-4692
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1434
SC
363LW0102X
Women's Health Nurse Practitioner
1434
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1434
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN 1434
NURSE PRACTITIONER NUMBER
SC
Enumeration date
12/18/2006
Last updated
11/11/2020
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