Doctor Name: | ANNE ELIZABETH SOMMERFELD |
NPI Number: | 1417323031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OA003611 |
Business Practice Address: | 210 Medical Center Dr Philipsburg, PA - 168661948 |
Business Phone Number: | 8143425402 |
Business Fax Number: | |
Mailing Address: | 1730 Bristol Ave, Apartment #426 STATE COLLEGE |
State: | PA |
Postal Code: | 168013071 |
Phone Number: | 7249772155 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA003611 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |