Provider Demographics
NPI:1518182401
Name:SONS, DENISE RENAE (RN,CNOR,CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:RENAE
Last Name:SONS
Suffix:
Gender:F
Credentials:RN,CNOR,CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 721
Mailing Address - Street 2:1207 NORTH FIRST STREET
Mailing Address - City:FAIRFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62837-0721
Mailing Address - Country:US
Mailing Address - Phone:618-237-8770
Mailing Address - Fax:618-847-4206
Practice Address - Street 1:1207 N 1ST ST
Practice Address - Street 2:BOX 721
Practice Address - City:FAIRFIELD
Practice Address - State:IL
Practice Address - Zip Code:62837-2466
Practice Address - Country:US
Practice Address - Phone:618-237-8770
Practice Address - Fax:618-847-4206
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0041-282852163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant