Provider Demographics
NPI:1932598174
Name:FERREIRA, SOMMER (CPNP)
Entity type:Individual
Prefix:
First Name:SOMMER
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4801
Mailing Address - Country:US
Mailing Address - Phone:912-354-3400
Mailing Address - Fax:912-303-0665
Practice Address - Street 1:460 MALL BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4801
Practice Address - Country:US
Practice Address - Phone:912-354-3400
Practice Address - Fax:912-303-0665
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN194331363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics