# SONYA DEANN WATHEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699421305
- **Gender:** F
- **Credential:** APNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 209028411 | IL | — |
| 363L00000X | Nurse Practitioner | 71012372A | IN | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 28130603A | IN | — |

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 09/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300062900 | — | IN |
| 05 | — | 7100806530 | — | KY |