MEDICARE: SUMMER POWERS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	1-099977	AL

General Provider Information

NPI Number	:	1821021312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER POWERS CRNP

Provider Business Mailing Address
First Line	:	1720 2ND AVE S # NB585M
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35294-1210
Country	:	US
Telephone Number	:
Fax Number	:	205-905-6100

Provider Business Practice Location Address
First Line	:	1 W LAKESHORE DR STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7271
Country	:	US
Telephone Number	:	205-930-2950
Fax Number	:	205-930-2957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	05/08/2024

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