Healthcare Provider Details

I. General information

NPI: 1073629085
Provider Name (Legal Business Name): ANN MARIE SOMMER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 05/23/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 PINE GROVE CMNS
YORK PA
17403-5151
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-5736
  • Fax: 717-715-1298
Mailing address:
  • Phone: 717-851-5736
  • Fax: 717-715-1298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP007573
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: