Provider Demographics
NPI:1922284645
Name:SOSTAK, JOY ANNE (APN/CNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ANNE
Last Name:SOSTAK
Suffix:
Gender:F
Credentials:APN/CNP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ANNE
Other - Last Name:VANDERWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN/CNP
Mailing Address - Street 1:220 ATHENS WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1311
Mailing Address - Country:US
Mailing Address - Phone:833-208-7770
Mailing Address - Fax:
Practice Address - Street 1:3200 SOUTHWEST FWY STE 2100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7525
Practice Address - Country:US
Practice Address - Phone:833-208-7770
Practice Address - Fax:833-464-3584
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043911363LP0200X, 363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics