Provider Demographics
NPI:1669927620
Name:SANDHU, SONYA (FNP)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:SANDHU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14035 NE WOODINVILLE DUVALL RD
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8504
Mailing Address - Country:US
Mailing Address - Phone:425-485-6468
Mailing Address - Fax:425-481-4548
Practice Address - Street 1:14035 NE WOODINVILLE DUVALL RD
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8504
Practice Address - Country:US
Practice Address - Phone:425-485-6468
Practice Address - Fax:425-481-4548
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60684759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily