Provider Demographics
NPI:1356863161
Name:BURNETT, SONIA (LVN)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:BURNETT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6108 ABRAMS RD APT 316
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8029
Mailing Address - Country:US
Mailing Address - Phone:682-221-5450
Mailing Address - Fax:
Practice Address - Street 1:6108 ABRAMS RD APT 316
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8029
Practice Address - Country:US
Practice Address - Phone:682-221-5450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143039164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse