Individual provider · Type 1 NPI

Sohila Mansourzadeh Phelps, RN

Pediatric Registered Nurse · Portsmouth, VA

NPI number 1093853152 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

305 Mistral Pl
Chesapeake, VA 23322-5902

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X0001165666 (VA)

Pediatric Registered Nurse: Definition to come...

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About NPI 1093853152

Sohila Mansourzadeh Phelps, RN's National Provider Identifier is 1093853152, issued on Feb 2, 2007. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 8, 2007.