Sommer J Grant, ARNP Valid NPI

Individual provider · Nurse Practitioner · Waterloo, IA

NPI

1235116153

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

105635 (IA)

Sex

Female

Sole proprietor

No

Enumerated

2005-12-30

Last updated

2009-10-20