Basic Information
Provider Information
NPI: 1134378532
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOMERFIELD
FirstName: SARAH
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 611 COURT ST
Address2:  
City: WEST BRANCH
State: MI
PostalCode: 486619390
CountryCode: US
TelephoneNumber: 9893457000
FaxNumber: 9893457479
Practice Location
Address1: 611 COURT ST
Address2:  
City: WEST BRANCH
State: MI
PostalCode: 486619390
CountryCode: US
TelephoneNumber: 9893457000
FaxNumber: 9893457479
Other Information
ProviderEnumerationDate: 09/10/2008
LastUpdateDate: 06/04/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X4704216377MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
207P00000X4704216377MIN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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