Provider Demographics
NPI:1255426375
Name:SOMMER, CHERYL LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:SOMMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 SW 136TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-5112
Mailing Address - Country:US
Mailing Address - Phone:305-553-8320
Mailing Address - Fax:612-659-7101
Practice Address - Street 1:680 COHASSET RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2213
Practice Address - Country:US
Practice Address - Phone:305-553-8320
Practice Address - Fax:612-659-7101
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1805972363LF0000X
CA95001112363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner