Individual
SONYA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
9766 S BUSH RD, PEKIN, IN 47165-7263
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71013990A
IN
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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