Individual provider · Type 1 NPI

Sophia Anne Mediratta, AGPCNP

Gerontology Nurse Practitioner · Scarborough, ME

NPI number 1477354595 Active

Practice location

96 Campus Dr
Scarborough, ME 04074-7163

Fax (207) 396-5600

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XCNP241651 (ME)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1477354595

Sophia Anne Mediratta, AGPCNP's National Provider Identifier is 1477354595, issued on Mar 24, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Scarborough, ME. The record was last updated on Apr 8, 2025.