Healthcare Provider Details

I. General information

NPI: 1306201611
Provider Name (Legal Business Name): SOMMER PORCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 05/13/2020
Certification Date: 05/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 S BROAD ST
SCOTTSBORO AL
35768-2605
US

IV. Provider business mailing address

1302 S BROAD ST
SCOTTSBORO AL
35768-2605
US

V. Phone/Fax

Practice location:
  • Phone: 256-218-4080
  • Fax:
Mailing address:
  • Phone: 256-218-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-090211
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: