MEDICARE: MRS. KAYLA SONNIER APRN

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
1	363L00000X	Nurse Practitioner	APO4425	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477595486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAYLA SONNIER APRN

Provider Business Mailing Address
First Line	:	407 N MAIN ST
Second Line	:
City	:	SAINT MARTINVILLE
State	:	LA
Zip	:	70582-4118
Country	:	US
Telephone Number	:	337-342-2641
Fax Number	:	337-342-2813

Provider Business Practice Location Address
First Line	:	407 N MAIN ST
Second Line	:
City	:	SAINT MARTINVILLE
State	:	LA
Zip	:	70582-4118
Country	:	US
Telephone Number	:	337-342-2641
Fax Number	:	337-342-2813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/06/2013

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