Provider Demographics
NPI:1346381779
Name:FERRY, SONDRA M (FNP)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:M
Last Name:FERRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SONDRA
Other - Middle Name:M
Other - Last Name:MCCART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10801 SUSIE PL
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5030
Mailing Address - Country:US
Mailing Address - Phone:619-258-5688
Mailing Address - Fax:619-258-5688
Practice Address - Street 1:4311 3RD AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1407
Practice Address - Country:US
Practice Address - Phone:619-688-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily