Individual provider · Type 1 NPI

Sophia Mazhou

Psychiatric/Mental Health Nurse Practitioner · Kennett, MO

NPI number 1801657853 Active

Practice location

901 W Commercial St
Kennett, MO 63857-1100

Mailing address

2010 Castlebar Dr
St. Louis, MO 63146-3731

Other practice locations

  • 1050 N Argonne Rd Ste 100, Spokane Valley, WA 99212-6011 · (509) 209-8990

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP61574385 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2023034767 (MO)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209028551 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1801657853

Sophia Mazhou's National Provider Identifier is 1801657853, issued on Jan 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kennett, MO. The record was last updated on Jun 2, 2025.