Provider Demographics
NPI:1316724552
Name:GOLDER, SUMMER (FNP)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:GOLDER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1732 OLD PAINT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3110
Mailing Address - Country:US
Mailing Address - Phone:806-407-6720
Mailing Address - Fax:
Practice Address - Street 1:1732 OLD PAINT DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3110
Practice Address - Country:US
Practice Address - Phone:806-407-6720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1135461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily