Individual
SONJA LYNNE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
702 VAN BUREN ST, FORT WAYNE, IN 46802-3697
(260) 425-3000
Mailing address
16209 HAVENWOOD DR, WOODBURN, IN 46797-9585
(260) 437-7560
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28162270A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71013287A
IN
Other
Enumeration date
08/29/2022
Last updated
06/23/2023
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