Provider Demographics
NPI:1174310296
Name:BLAU, SONIA DARLENE (WHNP-BC)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:DARLENE
Last Name:BLAU
Suffix:
Gender:
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21137 E PUMMELOS RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-7821
Mailing Address - Country:US
Mailing Address - Phone:480-458-8243
Mailing Address - Fax:
Practice Address - Street 1:21137 E PUMMELOS RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-7821
Practice Address - Country:US
Practice Address - Phone:480-458-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ322521363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology