Healthcare Provider Details

I. General information

NPI: 1851229389
Provider Name (Legal Business Name): SOMER OLWAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 HIDDEN ROCK CT
CARY NC
27513-8309
US

IV. Provider business mailing address

126 HIDDEN ROCK CT
CARY NC
27513-8309
US

V. Phone/Fax

Practice location:
  • Phone: 919-961-7240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-305270
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: