Individual
SONIA IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(972) 301-8044
Mailing address
927 CEDAR RIDGE DR, DESOTO, TX 75115-5239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
923306
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1076989
TX
Other
Enumeration date
02/17/2018
Last updated
02/13/2024
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