Provider Demographics
NPI:1538176813
Name:SUMMERS, LINDA C (FNP, CNS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:FNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 COWLES ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5918
Mailing Address - Country:US
Mailing Address - Phone:907-458-2644
Mailing Address - Fax:907-459-3521
Practice Address - Street 1:2111 COWLES ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5918
Practice Address - Country:US
Practice Address - Phone:907-458-2644
Practice Address - Fax:907-459-3521
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR28776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR28776OtherAPN LICENSE
NMR28776OtherAPN LICENSE
NMS34266Medicare UPIN