Individual provider · Type 1 NPI
Sophia Marie Italiano, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1740064591
Active
Practice location
4921 Parkview Pl, Div Surg Urology, Ste 11C
St. Louis, MO 63110-1032
Fax (314) 454-5244
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2023031140 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740064591
Sophia Marie Italiano, FNP's National Provider Identifier is 1740064591, issued on Aug 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.