Provider Demographics
NPI:1366747412
Name:SOLOMON, SONDRA H (APMHNP)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:H
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:APMHNP
Other - Prefix:
Other - First Name:SONDRA
Other - Middle Name:LYNN
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6710A WHISPER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9818
Mailing Address - Country:US
Mailing Address - Phone:919-548-3846
Mailing Address - Fax:336-603-6942
Practice Address - Street 1:5312 SIX FORKS RD STE 301
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4458
Practice Address - Country:US
Practice Address - Phone:091-979-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201535163WP0809X
NC50050772084P0802X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2595163Medicare PIN