Sommer Porch Valid NPI
Individual provider · Family Nurse Practitioner · Scottsboro, AL
- NPI
- 1306201611
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 1-090211 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-12-31
- Last updated
- 2020-05-13
Practice location
1302 S Broad St
Scottsboro, AL 35768-2605
(256) 218-4080