Basic Information
Provider Information
NPI: 1316359219
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HEFNER PERRY
FirstName: SOMMER
MiddleName: FRANCIS
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 251420
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722251420
CountryCode: US
TelephoneNumber: 5016868000
FaxNumber: 5016634335
Practice Location
Address1: 300 WERNER ST
Address2:  
City: HOT SPRINGS
State: AR
PostalCode: 71913
CountryCode: US
TelephoneNumber: 5016634335
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/27/2014
LastUpdateDate: 01/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAP125685TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000XC003233ARY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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