Sharon Wooten Sommerville
Nurse Practitioner - Neonatal
1214 Quincy Dr
Bossier City
, Louisiana 71111-8197
Sharon Wooten Sommerville
Nurse Practitioner - Neonatal
1214 Quincy Dr
Bossier City
, Louisiana 71111-8197
(318) 741-1070
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Sharon Wooten Sommerville
- 1214 Quincy Dr Department Of Pediatrics
- Bossier City, LA
- Zip : 71111-8197
- Phone : (318) 741-1070
Second Address
- Sharon Wooten Sommerville
- 1214 Quincy Dr
- Bossier City, LA
- Zip : 71111-8197
- Phone : (318) 741-1070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP04649 | LA |
National Provider Identifier
| NPI | 1134146921 |
|---|---|
| Provider Name | Sharon Wooten Sommerville |
| First Address | Bossier City, LA 71111-8197 |
| Second Address | Bossier City, LA 71111-8197 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 07/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1722880 | (05) | LA |
| Q54115 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.