Provider Demographics
NPI:1407078512
Name:SUDMEIER, CARI LYNN (NP)
Entity Type:Individual
Prefix:MISS
First Name:CARI
Middle Name:LYNN
Last Name:SUDMEIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39300 BOB HOPE DR STE 1207
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7088
Mailing Address - Country:US
Mailing Address - Phone:760-837-3999
Mailing Address - Fax:760-837-0220
Practice Address - Street 1:39300 BOB HOPE DR STE 1207
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-7088
Practice Address - Country:US
Practice Address - Phone:760-837-3999
Practice Address - Fax:760-837-0220
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily