Doctor Name: | SHARON L SUMMERS |
NPI Number: | 1023232063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 156463 |
Business Practice Address: | 2112 Riverdale St West Springfield, MA - 010891024 |
Business Phone Number: | 4138274209 |
Business Fax Number: | |
Mailing Address: | 39 Summit St, BELCHERTOWN |
State: | MA |
Postal Code: | 010079174 |
Phone Number: | 4133236089 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 08/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 156463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |