Provider Demographics
NPI:1134643539
Name:SOMERS, SARAH (FNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SOMERS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 W BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1110
Mailing Address - Country:US
Mailing Address - Phone:410-369-5200
Mailing Address - Fax:410-347-0870
Practice Address - Street 1:850 W BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1110
Practice Address - Country:US
Practice Address - Phone:410-369-5200
Practice Address - Fax:410-347-0870
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175080363LF0000X
MDR178550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily