Doctor Name: | SONJA H EMERSON |
NPI Number: | 1043594906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R181458 |
Business Practice Address: | 500 North Mundo Dulce, NM - 875280187 |
Business Phone Number: | 5757597286 |
Business Fax Number: | 5757597289 |
Mailing Address: | P O Box 187, 500 North Mundo DULCE |
State: | NM |
Postal Code: | 875280187 |
Phone Number: | 5757597286 |
Fax Number: | 5757597289 |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R181458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |