IndividualActive
Courtney Sumida, DNP, AGPCNP-BC, CSFA
NPI 1306583778 · Gerontology Nurse Practitioner · Beloit, WI
Provider details
- NPI number
- 1306583778
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, AGPCNP-BC, CSFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041442675 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1905 E Huebbe Pkwy
Beloit, WI 53511-1896
Phone: (608) 364-2230
Fax: (608) 363-7394
Approximate (ZIP-level) locationGet directions
Mailing address
1905 E Huebbe Pkwy
Beloit, WI 53511-1896
Additional practice locations (1)
- 5605 E Rockton RdRoscoe, IL 61073-7601Phone: (815) 525-4900
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.