Provider Demographics
NPI:1609155118
Name:SONI, SORAYA MONTOYA (RN)
Entity type:Individual
Prefix:MISS
First Name:SORAYA
Middle Name:MONTOYA
Last Name:SONI
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 MILL CHASE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6947
Mailing Address - Country:US
Mailing Address - Phone:310-493-1273
Mailing Address - Fax:
Practice Address - Street 1:1804 MILL CHASE LN
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6947
Practice Address - Country:US
Practice Address - Phone:310-493-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531454163WP0808X
NC331503163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health