Provider Demographics
NPI:1942922547
Name:CSONKA, JOSHUA T (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:T
Last Name:CSONKA
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5240 PIEDMONT DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9408
Mailing Address - Country:US
Mailing Address - Phone:720-883-4466
Mailing Address - Fax:
Practice Address - Street 1:3650 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-7272
Practice Address - Country:US
Practice Address - Phone:501-327-6900
Practice Address - Fax:888-782-8072
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR221842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR221842OtherAPRN-CNP LICENSE