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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA SUMMERVILLE

Active Sole Proprietor

AMANDA SUMMERVILLE is a Student Health Clinic healthcare provider located in SPARKS, Nevada. NPI 1043972169 is currently active in the NPPES registry. Verify at CMS.

Student Health Clinic · SPARKS, NV

Registration Details

NPI Number
1043972169
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2021 (4.886885374727 yrs)
Last Updated
Oct 6, 2021
Sole Proprietor
Yes

Practice Information

Address
1963 E PRATER WAY STE 101
SPARKS, NV, 894348938
Browse NV providers · Browse ZIP 89434
Phone
7756366269
Primary Specialty
Student Health Clinic
261QS1000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.