Provider Demographics
NPI:1336725357
Name:MUNN, SONIA (BSN, MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:MUNN
Suffix:
Gender:F
Credentials:BSN, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 SUNNYVALE CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2435
Mailing Address - Country:US
Mailing Address - Phone:443-463-3304
Mailing Address - Fax:
Practice Address - Street 1:27 SUNNYVALE CT
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2435
Practice Address - Country:US
Practice Address - Phone:443-463-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR143553163W00000X, 163WC0400X, 163WH0200X, 163WP0808X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health