Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 646310 | TX |
NPI | 1003079492 |
---|---|
Provider Name | Richard Allen Sonnier |
First Address | Apo, AE 09180 |
Second Address | Apo, AE 09180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |