Provider Demographics
NPI:1477098614
Name:SONNIER, SHANNA (PCD(DONA))
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:
Last Name:SONNIER
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14511 SE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-7525
Mailing Address - Country:US
Mailing Address - Phone:813-449-0564
Mailing Address - Fax:
Practice Address - Street 1:14511 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-7525
Practice Address - Country:US
Practice Address - Phone:813-449-0564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-26
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program