Healthcare Provider Details

I. General information

NPI: 1316927312
Provider Name (Legal Business Name): RITA SUMMERFIELD APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WALPOLE ST SUITE 6
NORWOOD MA
02062-3315
US

IV. Provider business mailing address

29 MAPLE ST F
CANTON MA
02021-2916
US

V. Phone/Fax

Practice location:
  • Phone: 781-551-4455
  • Fax: 781-551-9898
Mailing address:
  • Phone: 781-551-4455
  • Fax: 781-551-9898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number111742
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: