Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY SUMIDA, DNP, AGPCNP-BC, CSFA
Active Sole ProprietorCOURTNEY SUMIDA, DNP, AGPCNP-BC, CSFA is a Gerontological Nurse Practitioner healthcare provider located in BELOIT, Wisconsin. NPI 1306583778 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BELOIT, WI
Registration Details
- NPI Number
- 1306583778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2022 (4.1997928435169 yrs)
- Last Updated
- Jun 25, 2024
- Licenses
-
041442675 (IL)209.026121 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1905 E HUEBBE PKWYBELOIT, WI, 535111896Browse WI providers · Browse ZIP 53511
- Phone
- 6083642230
- Fax
- 6083637394
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in BELOIT, WI
| Name | Credential | NPI |
|---|---|---|
| CARRIE GLOVER | NP | 1356432488 |
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.