Provider Demographics
NPI:1144755497
Name:TAGNANI, SUMMER LEE (RN)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:LEE
Last Name:TAGNANI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GRANDVIEW TER
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1221
Mailing Address - Country:US
Mailing Address - Phone:610-413-4956
Mailing Address - Fax:
Practice Address - Street 1:1220 BROADCASTING RD
Practice Address - Street 2:220
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3221
Practice Address - Country:US
Practice Address - Phone:866-761-7104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN532727163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health