Provider Demographics
NPI:1811087042
Name:SONIN, NINA (NP)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:SONIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:SONIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:201 E UNIVERSITY PKWY
Mailing Address - Street 2:EKG DEPARTMENT-BASEMENT, MAIN HOSPITAL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2829
Mailing Address - Country:US
Mailing Address - Phone:410-554-6642
Mailing Address - Fax:410-554-2333
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:EKG DEPARTMENT-BASEMENT, MAIN HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:410-554-6642
Practice Address - Fax:410-554-2333
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR136574363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
S73778Medicare UPIN
000L803XMedicare ID - Type Unspecified