person
Ms. Sonya Gohel Wallace, FNP-C
Family Nurse Practitioner in San Rafael, California
NPI 1861652018

Sonya Gohel Wallace is a Family Nurse Practitioner based in San Rafael, CA and is specialized in Family. Sonya Gohel Wallace practices in San Rafael, CA and has the professional credentials of FNP-C. The NPI Number for Sonya Gohel Wallace is 1861652018 and holds a License No. 18012 (California).

The current practice location address for Sonya Gohel Wallace is 16 Ritter St, San Rafael, CA and can be reached out via phone at 415-457-8182 and via fax at 415-457-3490.

Location: 16 Ritter St, San Rafael, CA, 94901-3323
person
Provider Profile Details
NPI Number
1861652018
Provider Name
Sonya Gohel Wallace
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
16 Ritter St, San Rafael, CA, 94901-3323
Phone Number
415-457-8182
Fax Number
415-457-3490
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
672257 01 CA RN LICENSE
F0208160 01 CA AANP CERTIFICATION
18012 01 CA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
16 Ritter St
City
State
Zip
94901-3323
Phone Number
415-457-8182
Fax Number
415-457-3490
person
Provider Business Mailing Address Details
Address
16 Ritter St
City
State
Zip
94901-3323
Phone Number
415-457-8182
Fax Number
415-457-3490
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18012 (California)
Definition
Definition to come...
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