Provider Demographics
NPI:1669083051
Name:SHULER, SUMMER ROCHELLE (APRN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:ROCHELLE
Last Name:SHULER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:ROCHELLE
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:365 OLD HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:BEATTYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41311-9034
Mailing Address - Country:US
Mailing Address - Phone:606-260-3135
Mailing Address - Fax:
Practice Address - Street 1:1025 GRAND AVENUE
Practice Address - Street 2:
Practice Address - City:BEATTYVILLE
Practice Address - State:KY
Practice Address - Zip Code:41311
Practice Address - Country:US
Practice Address - Phone:606-208-8077
Practice Address - Fax:606-208-8091
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily