Summerfield, Debra

Summerfield, Debra is an individual health care provider with primary practice located at Hwy 160 Mp 394.3 , Kayenta AZ 86033. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Summerfield, Debra can be contacted via phone (928) 697-4100.

Contact Information

Primary practice address
Hwy 160 Mp 394.3 Kayenta AZ 86033
Phone: (928) 697-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X R096042 Georgia
Nursing Service Providers / Registered Nurse 163W00000X R096042 Georgia

Profile Details

NPI number 1417589250
LBN Legal business name Summerfield, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417589250 NPPES
Arizona MEDICAID 060012

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