Provider Demographics
NPI:1275360414
Name:CONLEY, SUMMER MICHELLE
Entity type:Individual
Prefix:MS
First Name:SUMMER
Middle Name:MICHELLE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 RICHARDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2243
Mailing Address - Country:US
Mailing Address - Phone:239-476-2990
Mailing Address - Fax:
Practice Address - Street 1:724 RICHARDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2243
Practice Address - Country:US
Practice Address - Phone:239-476-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health