Provider Demographics
NPI:1306045620
Name:ADDISON, SYLVIA (NP)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:ADDISON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 ALLIANCE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5306
Mailing Address - Country:US
Mailing Address - Phone:972-665-9100
Mailing Address - Fax:972-665-4711
Practice Address - Street 1:4716 ALLIANCE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5306
Practice Address - Country:US
Practice Address - Phone:972-665-9100
Practice Address - Fax:972-665-4711
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty