Healthcare Provider Details

I. General information

NPI: 1689790446
Provider Name (Legal Business Name): SONJA O BROWNLEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONJA BROWNLEE MD

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 PINION RD SUITE E
ELKO NV
89801-8318
US

IV. Provider business mailing address

PO BOX 5662
ELKO NV
89802-5662
US

V. Phone/Fax

Practice location:
  • Phone: 775-778-6762
  • Fax: 775-778-6767
Mailing address:
  • Phone: 775-778-6762
  • Fax: 775-778-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8617
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: