IndividualActive
Amanda Summerville
NPI 1043972169 · Student Health Clinic/Center · Sparks, NV
Provider details
- NPI number
- 1043972169
- Entity type
- Individual
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1963 E Prater Way Ste 101
Sparks, NV 89434-8938
Phone: (775) 636-6269
Mailing address
1963 E Prater Way Ste 101
Sparks, NV 89434-8938
Registry dates
- Enumerated
- 2021-10-06
- Last updated
- 2021-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.