Wathen, Sonya Deann

Wathen, Sonya Deann is an individual health care provider with primary practice located at 53760 Generations Dr , South Bend IN 46635-1539. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wathen, Sonya Deann can be contacted via phone (888) 938-3838.

Contact Information

Primary practice address
53760 Generations Dr South Bend IN 46635-1539
Phone: (888) 938-3838
Fax: (888) 919-1083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28130603A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209028411 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71012372A Indiana

Profile Details

NPI number 1699421305
LBN Legal business name Wathen, Sonya Deann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2022
Last updated May 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699421305 NPPES
Indiana MEDICAID 300062900
Indiana MEDICAID 7100806530

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