Individual provider · Type 1 NPI

Sophie Grace Williams

Student in an Organized Health Care Education/Training Program · Otsego, MN

NPI number 1225904642 Active

Practice location

9245 Quantrelle Ave NE
Otsego, MN 55330-0168

Call (763) 308-8619 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1225904642

Sophie Grace Williams's National Provider Identifier is 1225904642, issued on Oct 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Otsego, MN. The record was last updated on Oct 13, 2025.