Summer M Anderson, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gonzales, LA
NPI 1801425855 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1801425855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 211939 (LA)
- Practice address
- 1112 E Ascension Complex Blvd
Gonzales, LA 70737-4265 - Phone
- (225) 621-5770
- Fax
- (225) 644-3208
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211939 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 211939 | LA | Yes |
Addresses
Primary practice location
1112 E Ascension Complex Blvd
Gonzales, LA 70737-4265
Mailing address
4615 Government St BLDG 2
Baton Rouge, LA 70806-5922
Phone (225) 925-1906
Other names
- Summer Adair
Other providers in Gonzales, LA
- Cassie Aloisio
- Amedisys Hospice, L.L.C.
- Brianna Marie Anderson
- David D Anderson
- Kyali Anderson
- Angelic Personal Care Services, LLC
- Angelic Services LLC
- Angelic Services, LLC
- Anointed Hands Trichology Center for Hair Loss LLC
- Beau Vincent Arceneaux
All providers in Gonzales, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.