Provider Demographics
NPI:1669938924
Name:ESTEVES, SONIA LYNN (LPN)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:LYNN
Last Name:ESTEVES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2321
Mailing Address - Country:US
Mailing Address - Phone:862-755-5636
Mailing Address - Fax:
Practice Address - Street 1:116 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-2321
Practice Address - Country:US
Practice Address - Phone:862-755-5636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308812164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse