Individual
MRS. SONITA NULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 PHILADELPHIA RD, JOPPA, MD 21085-3216
(240) 705-3324
Mailing address
1107 KINGWOOD DR, TAKOMA PARK, MD 20912-6917
(240) 705-3324
(202) 503-2363
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R217800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134488844
—
MD
Enumeration date
05/15/2012
Last updated
05/17/2020
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