Healthcare Provider Details

I. General information

NPI: 1124825690
Provider Name (Legal Business Name): SOMER ANDRIES CRNP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 TULANE AVE
NEW ORLEANS LA
70112-2250
US

IV. Provider business mailing address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

V. Phone/Fax

Practice location:
  • Phone: 504-702-3324
  • Fax:
Mailing address:
  • Phone: 410-328-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036410
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number242669
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: