Individual provider · Type 1 NPI

Sommer Nicole Rush, PA-C

Surgical Physician Assistant · Melbourne, FL

NPI number 1700666971 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3224

Call (321) 434-1401 Map

Fax (321) 434-1667

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9118003 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1700666971

Sommer Nicole Rush, PA-C's National Provider Identifier is 1700666971, issued on Oct 4, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Oct 26, 2023.