Healthcare Provider Details

I. General information

NPI: 1801271788
Provider Name (Legal Business Name): SONYA SEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONYA SEE

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E SIGLER AVE STE A
MEMPHIS MO
63555-1726
US

IV. Provider business mailing address

450 E SIGLER AVE STE A
MEMPHIS MO
63555-1726
US

V. Phone/Fax

Practice location:
  • Phone: 660-465-2828
  • Fax: 660-465-2956
Mailing address:
  • Phone: 660-465-2828
  • Fax: 660-465-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2015024779
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: