Provider Demographics
NPI:1912201047
Name:BROWN, SONYA ULRICA (CRNA)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:ULRICA
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:ULRICA
Other - Last Name:FULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 MONTANA DR
Mailing Address - Street 2:
Mailing Address - City:STAHLSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15687-1340
Mailing Address - Country:US
Mailing Address - Phone:724-593-2190
Mailing Address - Fax:
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:800-394-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN555237367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered