MEDICARE: LEANNE SONNENSCHEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN9463076	FL
2	163WR0400X	Rehabilitation Registered Nurse	RN9463076	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11029360	FL

General Provider Information

NPI Number	:	1104416296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNE SONNENSCHEIN

Provider Business Mailing Address
First Line	:	4669 SWALLOWTAIL DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6517
Country	:	US
Telephone Number	:	352-398-7110
Fax Number	:

Provider Business Practice Location Address
First Line	:	4669 SWALLOWTAIL DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6517
Country	:	US
Telephone Number	:	352-398-7110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	06/05/2024

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Directions to “ LEANNE SONNENSCHEIN ” Practice Location

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