Healthcare Provider Details

I. General information

NPI: 1982474565
Provider Name (Legal Business Name): SONJA JEAN MEIERS APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BROADWAY AVE S
ROCHESTER MN
55904-6445
US

IV. Provider business mailing address

400 BROADWAY AVE S STE 204
ROCHESTER MN
55904-6498
US

V. Phone/Fax

Practice location:
  • Phone: 507-507-5352
  • Fax: 507-535-2578
Mailing address:
  • Phone: 507-535-2580
  • Fax: 507-535-2578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number839860
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: