Healthcare Provider Details

I. General information

NPI: 1366747412
Provider Name (Legal Business Name): SONDRA H SOLOMON APMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONDRA LYNN HUFFMAN

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5312 SIX FORKS RD STE 301
RALEIGH NC
27609-4458
US

IV. Provider business mailing address

6710A WHISPER CREEK DR
WHITSETT NC
27377-9818
US

V. Phone/Fax

Practice location:
  • Phone: 91-979-0766
  • Fax:
Mailing address:
  • Phone: 919-548-3846
  • Fax: 336-603-6942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number201535
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number5005077
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5005077
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: