Provider Demographics
NPI:1407449374
Name:SUMMER BROWN, A NURSING CORPORATION
Entity Type:Organization
Organization Name:SUMMER BROWN, A NURSING CORPORATION
Other - Org Name:GERONTOLOGI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:949-432-6463
Mailing Address - Street 1:24351 REGINA ST
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-4714
Mailing Address - Country:US
Mailing Address - Phone:714-655-3365
Mailing Address - Fax:
Practice Address - Street 1:24351 REGINA ST
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-4714
Practice Address - Country:US
Practice Address - Phone:714-655-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty