Individual
SONYA DEANN WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4200
(317) 583-3098
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209028411
IL
363L00000X
Nurse Practitioner
Primary
71012372A
IN
363LA2200X
Adult Health Nurse Practitioner
28130603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062900
—
IN
05
—
7100806530
—
KY
Enumeration date
02/22/2022
Last updated
09/10/2025
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