Provider Demographics
NPI:1598739740
Name:SOMMER, VALERIE K (RN FNP-C)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:K
Last Name:SOMMER
Suffix:
Gender:F
Credentials:RN FNP-C
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:K
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9200 INDIAN CREEK PKWY
Mailing Address - Street 2:BUILDING 9 SUITE 300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2036
Mailing Address - Country:US
Mailing Address - Phone:913-541-4600
Mailing Address - Fax:913-541-4692
Practice Address - Street 1:4881 NE GOODVIEW CIR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1996
Practice Address - Country:US
Practice Address - Phone:816-478-2050
Practice Address - Fax:816-478-6360
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO565A877EMedicare PIN
MOP23527Medicare UPIN