Provider Demographics
NPI:1821254780
Name:NOCK, SONJI VERONICA (PA)
Entity Type:Individual
Prefix:
First Name:SONJI
Middle Name:VERONICA
Last Name:NOCK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75TH MED CO (AS)
Mailing Address - Street 2:UNIT# 15190
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96271
Mailing Address - Country:US
Mailing Address - Phone:753-8358
Mailing Address - Fax:
Practice Address - Street 1:75TH MED CO (AS)
Practice Address - Street 2:UNIT# 15190
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:753-8358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant