1922851880 NPI number — MRS. SONYA DENISE SARTAIN APRN, FNP

Table of content: MRS. SONYA DENISE SARTAIN APRN, FNP (NPI 1922851880)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922851880 NPI number — MRS. SONYA DENISE SARTAIN APRN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARTAIN
Provider First Name:
SONYA
Provider Middle Name:
DENISE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STYLES
Provider Other First Name:
SONYA
Provider Other Middle Name:
DENISE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922851880
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 CHICKORY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37821-5225
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-438-7678
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
756 COSBY HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37821-3455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-237-6546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN0000035921 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com