Provider Demographics
NPI:1801271788
Name:SEE, SONYA
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:SEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:
Other - Last Name:SEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:450 E SIGLER AVE
Mailing Address - Street 2:STE A
Mailing Address - City:MEMPHIS
Mailing Address - State:MO
Mailing Address - Zip Code:63555-1726
Mailing Address - Country:US
Mailing Address - Phone:660-465-2828
Mailing Address - Fax:660-465-2956
Practice Address - Street 1:450 E SIGLER AVE
Practice Address - Street 2:STE A
Practice Address - City:MEMPHIS
Practice Address - State:MO
Practice Address - Zip Code:63555-1726
Practice Address - Country:US
Practice Address - Phone:660-465-2828
Practice Address - Fax:660-465-2956
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015024779363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health