Healthcare Provider Details

I. General information

NPI: 1629509369
Provider Name (Legal Business Name): SOMMER TANNER- WRIGHT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16618 E BROADWAY AVE APT D107
SPOKANE VALLEY WA
99037-8586
US

IV. Provider business mailing address

16618 E BROADWAY AVE APT D107
SPOKANE VALLEY WA
99037-8586
US

V. Phone/Fax

Practice location:
  • Phone: 509-475-3185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0000174544
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN22633
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60807286
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: