Provider Demographics
NPI:1164777868
Name:CASORLA, SONIA (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:CASORLA
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5253 BRISATA CIR APT H
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-5254
Mailing Address - Country:US
Mailing Address - Phone:954-260-7995
Mailing Address - Fax:
Practice Address - Street 1:5253 BRISATA CIR APT H
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-5254
Practice Address - Country:US
Practice Address - Phone:954-260-7995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9332773163W00000X
FL11037405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse