Healthcare Provider Details

I. General information

NPI: 1598739740
Provider Name (Legal Business Name): VALERIE K. SOMMER RN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE K. WAGNER

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 02/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 NE GOODVIEW CIR
LEES SUMMIT MO
64064-1996
US

IV. Provider business mailing address

9200 INDIAN CREEK PKWY BUILDING 9 SUITE 300
OVERLAND PARK KS
66210-2036
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-2050
  • Fax: 816-478-6360
Mailing address:
  • Phone: 913-541-4600
  • Fax: 913-541-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number103715
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: