Provider Demographics
NPI:1881784130
Name:HANLON, SONJA K (RNFA)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:K
Last Name:HANLON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 E. HIGHLAND AVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4744
Mailing Address - Country:US
Mailing Address - Phone:602-553-3113
Mailing Address - Fax:602-667-7991
Practice Address - Street 1:2122 E. HIGHLAND AVE
Practice Address - Street 2:SUITE #300
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4744
Practice Address - Country:US
Practice Address - Phone:602-553-3113
Practice Address - Fax:602-667-7991
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN133469163WR0006X, 163WX0800X
CARN563611163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant