Provider Demographics
NPI:1114085222
Name:SOMMERS, ALLISON BRADLEY (APRN)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BRADLEY
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:BRADLEY
Other - Last Name:SOMMERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:13610 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4037
Mailing Address - Country:US
Mailing Address - Phone:480-462-3730
Mailing Address - Fax:
Practice Address - Street 1:13610 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4037
Practice Address - Country:US
Practice Address - Phone:480-462-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6023111N00000X
FL9372723163W00000X, 363LF0000X
AZ181975163W00000X
CA95033497163W00000X
NV79638163W00000X
AZAP8702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse