Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 047388 | CT |
N | 207VE0102X | Reproductive Endocrinologist | 047388 | CT |
Y | 207VE0102X | Reproductive Endocrinologist | 51362 | AZ |
NPI | 1548431604 |
---|---|
Provider Name | Dr. Nicole Kummer |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 08/02/2021 |