Provider Demographics
NPI:1184964637
Name:SOMMER, SUZANNE M (NP)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:SOMMER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:365 LENNON LN
Mailing Address - Street 2:STE 250
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5915
Mailing Address - Country:US
Mailing Address - Phone:925-948-8143
Mailing Address - Fax:925-948-8143
Practice Address - Street 1:911 MORAGA RD
Practice Address - Street 2:#101
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4579
Practice Address - Country:US
Practice Address - Phone:925-962-9120
Practice Address - Fax:925-962-9122
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2016-03-11
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Provider Licenses
StateLicense IDTaxonomies
CA7998363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health