Provider Demographics
NPI:1386668697
Name:SUMMERS, BILL N (APN)
Entity type:Individual
Prefix:MR
First Name:BILL
Middle Name:N
Last Name:SUMMERS
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Gender:M
Credentials:APN
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Mailing Address - Street 1:2200 FORT ROOTS DR
Mailing Address - Street 2:BUILDING 170, WARD 2D, ROOM 127
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-2310
Mailing Address - Fax:501-257-2308
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:BUILDING 170, WARD 2D, ROOM 127
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-2310
Practice Address - Fax:501-257-2308
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA01451363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care