Individual provider · Type 1 NPI

Sophia Imtiaz Choudhry, NP-C

Nurse Practitioner · Winston Salem, NC

NPI number 1780163550 Active

Practice location

2810 Maplewood Ave
Winston Salem, NC 27103-4138

Call (336) 860-6194 Map

Fax (336) 860-6236

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice locations

  • 850 N 11th St, Philadelphia, PA 19123-1957 · (215) 769-1100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR211716 (MD)
Family Nurse Practitioner 363LF0000XSP019653 (PA)
Nurse Practitioner Primary 363L00000X5016904 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780163550

Sophia Imtiaz Choudhry, NP-C's National Provider Identifier is 1780163550, issued on Aug 12, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 20, 2022.