Provider Demographics
NPI:1669078820
Name:VARNEY-HERR, SONJA RAE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:RAE
Last Name:VARNEY-HERR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:SONJA
Other - Middle Name:RAE
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15933 ADDISON RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:MI
Mailing Address - Zip Code:49220-9778
Mailing Address - Country:US
Mailing Address - Phone:517-392-6617
Mailing Address - Fax:
Practice Address - Street 1:15933 ADDISON RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:MI
Practice Address - Zip Code:49220-9778
Practice Address - Country:US
Practice Address - Phone:517-392-6617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030630363LF0000X
FLAPRN11013177363LF0000X
MI4704240302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily