Provider Demographics
NPI:1336411404
Name:BOYER, SUMMER YVONNE (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:YVONNE
Last Name:BOYER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:YVONNE
Other - Last Name:LAMCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4251 FOREST PARK AVE
Mailing Address - Street 2:PPSLR-CWE HEALTH CENTER
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-7526
Mailing Address - Country:US
Mailing Address - Phone:314-531-7526
Mailing Address - Fax:
Practice Address - Street 1:4251 FOREST PARK AVE
Practice Address - Street 2:PPSLR-CWE HEALTH CENTER
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-7526
Practice Address - Country:US
Practice Address - Phone:314-531-7526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012000667363LW0102X
IL209.009360363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health