Healthcare Provider Details

I. General information

NPI: 1851593826
Provider Name (Legal Business Name): NORMA F. SONNTAG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 S STATE ST
MIDVALE UT
84047-2013
US

IV. Provider business mailing address

7495 S STATE ST
MIDVALE UT
84047-2013
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-9618
  • Fax: 801-213-9620
Mailing address:
  • Phone: 801-213-9618
  • Fax: 801-213-9620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number2224443102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1306883954
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: