Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9266097 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | ARNP 9266097 | FL |
NPI | 1093001398 |
---|---|
Provider Name | Katherine J Sunnenberg |
First Address | Pensacola, FL 32504-7152 |
Second Address | Pensacola, FL 32503-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 20/11/2013 |