Provider Demographics
NPI:1336498930
Name:ARMSTEAD-MORRIS, SONIA MARIE (LICCENSEDPRACTICALNU)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:MARIE
Last Name:ARMSTEAD-MORRIS
Suffix:
Gender:F
Credentials:LICCENSEDPRACTICALNU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 EAST 80TH STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105
Mailing Address - Country:US
Mailing Address - Phone:216-246-2548
Mailing Address - Fax:216-271-6290
Practice Address - Street 1:2500 METRO HEALTH MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109
Practice Address - Country:US
Practice Address - Phone:216-246-2548
Practice Address - Fax:216-271-6290
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH149908164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse