Healthcare Provider Details

I. General information

NPI: 1699697524
Provider Name (Legal Business Name): SONOMA VALLEY ADVANCED PRACTICE NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 FRANCE ST
SONOMA CA
95476-7145
US

IV. Provider business mailing address

443 FRANCE ST
SONOMA CA
95476-7145
US

V. Phone/Fax

Practice location:
  • Phone: 707-939-5345
  • Fax:
Mailing address:
  • Phone: 707-939-5345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBECCA SPEAR
Title or Position: PRESIDENT
Credential: DNP, ARNP, AGNP-C
Phone: 707-939-5345