Provider Demographics
NPI:1164181822
Name:PATEL, SONYA (APRN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, NP
Mailing Address - Street 1:4501 FAIRFAX DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1647
Mailing Address - Country:US
Mailing Address - Phone:703-349-6362
Mailing Address - Fax:
Practice Address - Street 1:4501 FAIRFAX DR STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1647
Practice Address - Country:US
Practice Address - Phone:703-349-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily