Provider Demographics
NPI:1407587033
Name:SCHREIBER-SMALL, SOMER A (FNP)
Entity Type:Individual
Prefix:
First Name:SOMER
Middle Name:A
Last Name:SCHREIBER-SMALL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 GATEWAY OAKS DR STE 215
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3503
Mailing Address - Country:US
Mailing Address - Phone:707-404-3731
Mailing Address - Fax:707-404-3741
Practice Address - Street 1:2730 GATEWAY OAKS DR STE 215
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3503
Practice Address - Country:US
Practice Address - Phone:707-404-3731
Practice Address - Fax:707-404-3741
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily