Provider Demographics
NPI:1316927312
Name:SUMMERFIELD, RITA (APRN,BC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SUMMERFIELD
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MAPLE ST
Mailing Address - Street 2:F
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2916
Mailing Address - Country:US
Mailing Address - Phone:781-551-4455
Mailing Address - Fax:781-551-9898
Practice Address - Street 1:1 WALPOLE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3315
Practice Address - Country:US
Practice Address - Phone:781-551-4455
Practice Address - Fax:781-551-9898
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA111742363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0598OtherBCBS PROV NO.
MA411867OtherTUFT'S HEALTH PROV NO.
MAPN0598OtherBCBS PROV NO.
MA587356HMedicare UPIN