Healthcare Provider Details
I. General information
NPI: 1316359219
Provider Name (Legal Business Name): SOMMER FRANCIS HEFNER PERRY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/27/2014
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 WERNER ST
HOT SPRINGS AR
71913
US
IV. Provider business mailing address
PO BOX 251420
LITTLE ROCK AR
72225-1420
US
V. Phone/Fax
- Phone: 501-663-4335
- Fax:
- Phone: 501-686-8000
- Fax: 501-663-4335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | AP125685 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | C003233 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: