Provider Demographics
NPI:1598643660
Name:WILBON, SONYA (CERTIFIED NURSE ASSI)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:WILBON
Suffix:
Gender:F
Credentials:CERTIFIED NURSE ASSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MALEENA MESA ST APT 1312
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8141
Mailing Address - Country:US
Mailing Address - Phone:810-394-6171
Mailing Address - Fax:
Practice Address - Street 1:6151 VEGAS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2593
Practice Address - Country:US
Practice Address - Phone:702-648-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV877892374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide