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NPI Code Detail

MEDICARE: SOPHIA NADINE HENDRICKS FNP

MEDICARE: SOPHIA NADINE HENDRICKS FNP
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
1363LF0000XFamily Nurse PractitionerSP012001PA
2101YM0800XMental Health CounselorSP034849PA
3363LF0000XFamily Nurse PractitionerF336105NY
4363LF0000XFamily Nurse Practitioner5006499NC
5363L00000XNurse PractitionerSP012001PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141-4610852OTHERPAPMHNP
2F1209090OTHERNYAANP CERTIFICATION
3SP012001OTHERPAFNP

General Provider Information

NPI Number : 1730406133
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA NADINE HENDRICKS FNP
Provider Business Mailing Address
First Line : 6375 PENN AVE STE B
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4010
Country : US
Telephone Number : 724-948-1050
Fax Number : 724-618-4096
Provider Business Practice Location Address
First Line : 6375 PENN AVE STE B
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4010
Country : US
Telephone Number : 724-948-1050
Fax Number : 724-618-4096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2010
Last Update Date : 03/20/2026

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