Healthcare Provider Details

I. General information

NPI: 1790426583
Provider Name (Legal Business Name): SONYA CORDES WALKER RN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 AURORA CT
AURORA CO
80045-2536
US

IV. Provider business mailing address

6338 S JAMAICA CT
ENGLEWOOD CO
80111-6627
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-4677
  • Fax: 303-724-6779
Mailing address:
  • Phone: 303-907-2957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN.0191192
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0191192
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: