Provider Demographics
NPI:1538697776
Name:WHALEY, SONJA YVETTE (RN)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:YVETTE
Last Name:WHALEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:YVETTE
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:224 CANNERY CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-3662
Mailing Address - Country:US
Mailing Address - Phone:210-324-3280
Mailing Address - Fax:
Practice Address - Street 1:1220 MORELLO AVE STE 100
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4707
Practice Address - Country:US
Practice Address - Phone:925-957-2634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95110109163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse