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NPI Code Detail

MEDICARE: MRS. SONYA DENISE SARTAIN APRN, FNP

MEDICARE: MRS. SONYA DENISE SARTAIN APRN, FNP
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
1363LF0000XFamily Nurse PractitionerAPN0000035921TN

General Provider Information

NPI Number : 1922851880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONYA DENISE SARTAIN APRN, FNP
Provider Business Mailing Address
First Line : 125 CHICKORY RD
Second Line :
City : NEWPORT
State : TN
Zip : 37821-5225
Country : US
Telephone Number : 423-438-7678
Fax Number :
Provider Business Practice Location Address
First Line : 756 COSBY HWY
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3455
Country : US
Telephone Number : 423-237-6546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 04/10/2024

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