Individual provider · Type 1 NPI
Wuraola Sofowote
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1033805650
Active
Practice location
719 Harrison St
Syracuse, NY 13210-2695
Fax (315) 464-3282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R198543 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406332 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033805650
Wuraola Sofowote's National Provider Identifier is 1033805650, issued on Apr 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Feb 27, 2025.