NPI 1962576504
Sonya a Russo, CNMWHNP
Practice location
- Address
- 1300 Franklin Ave Suite #270, Normal, IL 61761-3592
- Phone
- (309) 454-1074
- Fax
- (309) 454-3554
Registered specialties
Midwife
Primary
Registry record
- NPI
- 1962576504
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.