Healthcare Provider Details

I. General information

NPI: 1801705686
Provider Name (Legal Business Name): SONIA BABAR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15065 KUTZTOWN RD STE 400
KUTZTOWN PA
19530-9220
US

IV. Provider business mailing address

15065 KUTZTOWN RD STE 400
KUTZTOWN PA
19530-9220
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-2801
  • Fax:
Mailing address:
  • Phone: 484-658-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036908
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: