Provider Demographics
NPI:1164162046
Name:SANCHEZ, SONYA NICOLE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:NICOLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4138 PORTOLA DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-5351
Mailing Address - Country:US
Mailing Address - Phone:661-350-7233
Mailing Address - Fax:
Practice Address - Street 1:4138 PORTOLA DR
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-5351
Practice Address - Country:US
Practice Address - Phone:661-350-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95147439163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse