Provider Demographics
NPI:1467721738
Name:TUEL, SONJA (PA-C)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:TUEL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9390E CENTRAL AVE 101
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2565
Mailing Address - Country:US
Mailing Address - Phone:316-682-5591
Mailing Address - Fax:316-733-5253
Practice Address - Street 1:943 N ANDOVER RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9795
Practice Address - Country:US
Practice Address - Phone:316-733-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2021-03-31
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant