Individual provider · Type 1 NPI
Courtney Sumida, DNP, AGPCNP-BC, CSFA
Gerontology Nurse Practitioner · Beloit, WI
NPI number
1306583778
Active
Practice location
1905 E Huebbe Pkwy
Beloit, WI 53511-1896
Fax (608) 363-7394
Other practice locations
- 5605 E Rockton Rd, Roscoe, IL 61073-7601 · (815) 525-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041442675 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209.026121 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1306583778
Courtney Sumida, DNP, AGPCNP-BC, CSFA's National Provider Identifier is 1306583778, issued on May 17, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Beloit, WI. The record was last updated on Jun 25, 2024.