Provider Demographics
NPI:1982474565
Name:MEIERS, SONJA JEAN (APRN, AGCNS-BC)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:JEAN
Last Name:MEIERS
Suffix:
Gender:F
Credentials:APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BROADWAY AVE S STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6498
Mailing Address - Country:US
Mailing Address - Phone:507-535-2580
Mailing Address - Fax:507-535-2578
Practice Address - Street 1:400 BROADWAY AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6445
Practice Address - Country:US
Practice Address - Phone:507-507-5352
Practice Address - Fax:507-535-2578
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN839860364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health