Healthcare Provider Details

I. General information

NPI: 1699482802
Provider Name (Legal Business Name): SONORA ROBISON DNP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 W MCDOWELL RD STE G700
AVONDALE AZ
85392-5972
US

IV. Provider business mailing address

7708 W IRWIN AVE
LAVEEN AZ
85339-7205
US

V. Phone/Fax

Practice location:
  • Phone: 623-873-0321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number288299
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: