Provider Demographics
NPI:1073550836
Name:GREINER, SONJA LUCILLE (APN)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:LUCILLE
Last Name:GREINER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:LUCILLE
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:1409 PINCKNEY STREET
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2220
Mailing Address - Country:US
Mailing Address - Phone:910-641-0600
Mailing Address - Fax:910-641-0106
Practice Address - Street 1:1911 SOUTH 17TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6663
Practice Address - Country:US
Practice Address - Phone:910-791-9625
Practice Address - Fax:910-792-9799
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01670363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6113038Medicaid
NC6113038Medicaid
NC2593311Medicare PIN