Provider Demographics
NPI:1437395118
Name:HARLOW, SONJA (NP)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:HARLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 FROST ST
Mailing Address - Street 2:SHARP HEALTHCARE/KNOLLWOOD/ EOHD
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2701
Mailing Address - Country:US
Mailing Address - Phone:858-939-4620
Mailing Address - Fax:858-939-4627
Practice Address - Street 1:7901 FROST ST
Practice Address - Street 2:SHARP HEALTHCARE/KNOLLWOOD/ EOHD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2701
Practice Address - Country:US
Practice Address - Phone:858-939-4620
Practice Address - Fax:858-939-4627
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA164270363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health