Provider Demographics
NPI:1144997974
Name:LEY, SONDRA JILL (RN)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:JILL
Last Name:LEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 PASEO WAY
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1248
Mailing Address - Country:US
Mailing Address - Phone:415-203-7155
Mailing Address - Fax:
Practice Address - Street 1:62 PASEO WAY
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1248
Practice Address - Country:US
Practice Address - Phone:415-203-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355314163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development