Summerson, Mary I.

Summerson, Mary I. is an individual health care provider with primary practice located at 14 Plumber St , Warren PA 16365-1202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Summerson, Mary I. can be contacted via phone (814) 723-2323.

Contact Information

Primary practice address
14 Plumber St Warren PA 16365-1202
Phone: (814) 723-2323
Fax: (814) 726-3337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP008969 Pennsylvania

Profile Details

NPI number 1487698593
LBN Legal business name Summerson, Mary I.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 22nd, 2016 - about 8 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 1487698593 NPPES
Pennsylvania Other 00027486901 UNIVERA HEALTHCARE

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