Provider Demographics
NPI:1497037592
Name:WOOD, SONIA J (APRN,MSN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:J
Last Name:WOOD
Suffix:
Gender:F
Credentials:APRN,MSN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 VISTA MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1806
Mailing Address - Country:US
Mailing Address - Phone:512-788-4476
Mailing Address - Fax:
Practice Address - Street 1:2621 RIDGEPOINT DR
Practice Address - Street 2:STE 130
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5232
Practice Address - Country:US
Practice Address - Phone:512-334-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX735319363LP0200X
TXAP120804363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics