Individual
TONYA J SOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4375 N VANTAGE DR STE 305, FAYETTEVILLE, AR 72703
(479) 443-5100
(479) 443-5117
Mailing address
4375 N VANTAGE DR STE 305, FAYETTEVILLE, AR 72703-4984
(479) 443-5100
(479) 443-5117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-74980-071
KS
363LF0000X
Family Nurse Practitioner
Primary
0990553
CO
Other
Enumeration date
10/14/2009
Last updated
08/27/2018
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