Provider Demographics
NPI:1053603480
Name:SOMMER, KARIN MARIE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:MARIE
Last Name:SOMMER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:MARIE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 PINE GROVE COMMONS
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5151
Mailing Address - Country:US
Mailing Address - Phone:717-741-5257
Mailing Address - Fax:717-741-5336
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2345
Practice Address - Fax:717-741-5336
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN310204L367500000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program