MEDICARE: SOMMER SADDLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0027862	OH

General Provider Information

NPI Number	:	1881293082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOMMER SADDLER

Provider Business Mailing Address
First Line	:	2120 HAMPSTEAD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2509
Country	:	US
Telephone Number	:	216-509-4993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 HAMPSTEAD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2509
Country	:	US
Telephone Number	:	216-509-4993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

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Directions to “ SOMMER SADDLER ” Practice Location

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