Diciro, Sonya D

Diciro, Sonya D is an individual health care provider with primary practice located at 225 Physicians Park Suite 400, Poplar Bluff MO 63901-3956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diciro, Sonya D can be contacted via phone (573) 727-5500.

Contact Information

Primary practice address
225 Physicians Park Suite 400 Poplar Bluff MO 63901-3956
Phone: (573) 727-5500
Fax: (573) 727-5599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 093231 Missouri

Profile Details

NPI number 1427005792
LBN Legal business name Diciro, Sonya D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427005792 NPPES
Missouri MEDICAID 428892707

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