Provider Demographics
NPI:1356126973
Name:RAPP, SONIA MARIE
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:MARIE
Last Name:RAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 DUCK LAKE DR NE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569-9511
Mailing Address - Country:US
Mailing Address - Phone:360-590-4004
Mailing Address - Fax:
Practice Address - Street 1:368 SNAHAPISH AVE SE
Practice Address - Street 2:
Practice Address - City:OCEAN SHORES
Practice Address - State:WA
Practice Address - Zip Code:98569-9604
Practice Address - Country:US
Practice Address - Phone:360-590-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider