MS. SONYA GOHEL WALLACE FNP-C NPI 1861652018

NPI Information

NPI: 1861652018
Provider Name: MS. SONYA GOHEL WALLACE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
16 RITTER ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 457-8182
Get Directions

MS. Sonya Gohel Wallace, FNP-C is a family nurse practitioner in San Rafael, CA. MS. Sonya Gohel Wallace, FNP-C NPI is 1861652018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16 RITTER ST
SAN RAFAEL, CA
ZIP 94901-323
Phone: (415) 457-8182
Fax: (415) 457-3490

The enumeration date for this NPI number is 6/11/2008 and was last updated on 2/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	18012	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	672257	OTHER	CALIFORNIA	RN LICENSE
2	F0208160	OTHER	CALIFORNIA	AANP CERTIFICATION
3	18012	OTHER	CALIFORNIA	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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