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NPI Code Detail

MEDICARE: SONIA CASORLA MSN, APRN, PMHNP-BC

MEDICARE: SONIA CASORLA MSN, APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN 9332773FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11037405FL

General Provider Information

NPI Number : 1164777868
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA CASORLA MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 5253 BRISATA CIR APT H
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-5254
Country : US
Telephone Number : 954-260-7995
Fax Number :
Provider Business Practice Location Address
First Line : 5253 BRISATA CIR APT H
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-5254
Country : US
Telephone Number : 954-260-7995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 04/28/2025

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