Healthcare Provider Details

I. General information

NPI: 1346176435
Provider Name (Legal Business Name): SAMANTHA ANNE SOMMERNESS REIMER PHD, DNP, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11010 PRAIRIE LAKES DR STE 165
EDEN PRAIRIE MN
55344-3802
US

IV. Provider business mailing address

250 MORSE AVE
EXCELSIOR MN
55331-1931
US

V. Phone/Fax

Practice location:
  • Phone: 952-949-0676
  • Fax: 952-949-0868
Mailing address:
  • Phone: 952-303-1701
  • Fax: 952-303-1701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number166
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: