Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 95004964 | CA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NP95004964 | CA |
NPI | 1336698141 |
---|---|
Provider Name | Sommer Lynn Phillips |
First Address | Whittier, CA 90602-1006 |
Second Address | Whittier, CA 90602-1006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2016 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
95004964 | BOARD OF REGISTERED NURSING (01) | CA |