Healthcare Provider Details

I. General information

NPI: 1760170567
Provider Name (Legal Business Name): SUMMER BURNS-ALLEN, APRN-CNP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 WOOD OWL ST NE
CANTON OH
44704-2421
US

IV. Provider business mailing address

2806 WOOD OWL ST NE
CANTON OH
44704-2421
US

V. Phone/Fax

Practice location:
  • Phone: 330-412-4632
  • Fax:
Mailing address:
  • Phone: 330-412-4632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SUMMER ROSE BURNS-ALLEN
Title or Position: OWNER
Credential: APRN-CNP
Phone: 330-412-4632