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NPI Code Detail

MEDICARE: SOPHIA MARIA BARTLETT

MEDICARE:   SOPHIA MARIA BARTLETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse6535341NY

General Provider Information

NPI Number : 1316570880
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA MARIA BARTLETT
Provider Business Mailing Address
First Line : 5221 FLATLANDS AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2330
Country : US
Telephone Number : 347-707-3274
Fax Number :
Provider Business Practice Location Address
First Line : 5221 FLATLANDS AVE APT 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2330
Country : US
Telephone Number : 347-707-3274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2020
Last Update Date : 02/12/2020

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Directions to “ SOPHIA MARIA BARTLETT ” Practice Location

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