Provider Demographics
NPI:1952478034
Name:ESTEP, SONJA KAY (APRN,MS,CS,CPNP)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:KAY
Last Name:ESTEP
Suffix:
Gender:F
Credentials:APRN,MS,CS,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 MESA DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3459
Mailing Address - Country:US
Mailing Address - Phone:940-381-1501
Mailing Address - Fax:940-591-7830
Practice Address - Street 1:4308 MESA DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3459
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:940-591-7830
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230948363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164509501Medicaid
TX752405868OtherTAX ID