Provider Demographics
NPI:1780234773
Name:GOOD, SONYA A (APRN)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:A
Last Name:GOOD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:A
Other - Last Name:BRICKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:27 COBBLESTONE CT
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-1524
Mailing Address - Country:US
Mailing Address - Phone:438-959-0278
Mailing Address - Fax:
Practice Address - Street 1:20 LADY SLIPPER LN
Practice Address - Street 2:THE CYPRESS CLUB CLINIC
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-682-7159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24994363LG0600X, 363LG0600X
MN2466811163WE0900X
WI10003363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy