Provider Demographics
NPI:1063836815
Name:SONON, LPN, DEBORAH ELLEN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ELLEN
Last Name:SONON, LPN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NAGEL RD
Mailing Address - Street 2:NAGEL MIDDLE SCHOOL
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2544
Mailing Address - Country:US
Mailing Address - Phone:513-474-5407
Mailing Address - Fax:513-474-5584
Practice Address - Street 1:1500 NAGEL RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2544
Practice Address - Country:US
Practice Address - Phone:513-474-5407
Practice Address - Fax:513-474-5584
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH096289164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse