Individual provider · Type 1 NPI

Maia Sophia Cancro, DO

Student in an Organized Health Care Education/Training Program · Wilmington, NC

NPI number 1194665000 Active

Practice location

2523 Delaney Ave
Wilmington, NC 28403-6003

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL26-0372 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194665000

Maia Sophia Cancro, DO's National Provider Identifier is 1194665000, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, NC. The record was last updated on Aug 3, 2026.