Doctor Name: | MS. SANDRA LEE SUMMERS |
NPI Number: | 1669551412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN304637L |
Business Practice Address: | 1425 Porter St Fort Detrick, MD - 217029211 |
Business Phone Number: | 3016194562 |
Business Fax Number: | |
Mailing Address: | 8285 Black Haw Ct, FREDERICK |
State: | MD |
Postal Code: | 217013277 |
Phone Number: | 3016940615 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | RN304637L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |