Provider Demographics
NPI:1790426583
Name:WALKER, SONYA CORDES (RN, CDCES)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:CORDES
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6338 S JAMAICA CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6627
Mailing Address - Country:US
Mailing Address - Phone:303-907-2957
Mailing Address - Fax:
Practice Address - Street 1:1775 AURORA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2536
Practice Address - Country:US
Practice Address - Phone:303-724-6731
Practice Address - Fax:303-724-6784
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0191192163W00000X
CORN.0191192163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0191192OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES RN LICENSE