MRS. SONJA ELAINE PECKHAM CNP NPI 1114201522

NPI Information

NPI: 1114201522
Provider Name: MRS. SONJA ELAINE PECKHAM, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7580 AUBURN RD
SUITE 207
CONCORD TWP, OH
ZIP 44077
Phone: (440) 354-1802
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MRS. Sonja Elaine Peckham, CNP is an adult health nurse practitioner in Concord Twp, OH with 13 years of experience. MRS. Sonja Elaine Peckham, CNP NPI is 1114201522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7580 AUBURN RD
SUITE 207
CONCORD TWP, OH
ZIP 44077-615
Phone: (440) 354-1802
Fax: (440) 953-6138

The NPI 1114201522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	12655NP	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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