Provider Demographics
NPI:1487792164
Name:EARLY, SONDRA ELAINE (PA-C)
Entity type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:ELAINE
Last Name:EARLY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5803 LOCKHEED AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-7027
Mailing Address - Country:US
Mailing Address - Phone:970-221-9451
Mailing Address - Fax:855-856-6479
Practice Address - Street 1:2312 N NEVADA AVE STE 305
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5318
Practice Address - Country:US
Practice Address - Phone:970-221-9451
Practice Address - Fax:855-856-6479
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA18302363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical