Provider Demographics
NPI:1164613006
Name:SONDERGAARD, YOLAINE MILLER (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:YOLAINE
Middle Name:MILLER
Last Name:SONDERGAARD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9752 E ROADRUNNER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-1430
Mailing Address - Country:US
Mailing Address - Phone:480-575-0483
Mailing Address - Fax:480-575-8568
Practice Address - Street 1:1010 N COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3309
Practice Address - Country:US
Practice Address - Phone:480-461-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered