Individual provider · Type 1 NPI
Sophia Staley
Critical Care Medicine Nurse Practitioner · Flushing, NY
NPI number
1205507597
Active
Practice location
6716 Parsons Blvd Apt 6C
Flushing, NY 11365-2958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | F432146-01 (NY) |
Critical Care Medicine Nurse Practitioner: Definition to come...
About NPI 1205507597
Sophia Staley's National Provider Identifier is 1205507597, issued on Sep 26, 2021. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Flushing, NY. The record was last updated on Sep 26, 2021.