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NPI Code Detail

MEDICARE: SOPHIA R GEFFEN CRNP

MEDICARE:   SOPHIA R GEFFEN  CRNP
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 PractitionerSP032685PA

General Provider Information

NPI Number : 1821983750
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA R GEFFEN CRNP
Provider Business Mailing Address
First Line : 1927 MIFFLIN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2020
Country : US
Telephone Number : 508-642-7630
Fax Number :
Provider Business Practice Location Address
First Line : 3550 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-3329
Country : US
Telephone Number : 800-879-2467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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