Individual provider · Type 1 NPI
Michael Don Summers, CNP
Family Nurse Practitioner · New Burnside, IL
NPI number
1154991933
Active
Practice location
470 Washington Ln
New Burnside, IL 62967-1141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.023439 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1154991933
Michael Don Summers, CNP's National Provider Identifier is 1154991933, issued on Jun 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Burnside, IL. The record was last updated on Jun 25, 2021.