Provider Demographics
NPI:1902559420
Name:CURTIS, SONJA MALISA (DNP, FNP-BC, RN)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:MALISA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:DNP, FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 IVANHOE DR
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-8317
Mailing Address - Country:US
Mailing Address - Phone:334-553-5455
Mailing Address - Fax:
Practice Address - Street 1:423 IVANHOE DR
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-8317
Practice Address - Country:US
Practice Address - Phone:334-553-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-095833363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily