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Individual
SOPHIE LAUREN KAREN MINTZ
Active
Individual
SOPHIE LAUREN KAREN MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95006185
CA
363LA2200X
Adult Health Nurse Practitioner
95006185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103055604
—
PA
Enumeration date
03/08/2011
Last updated
12/31/2025
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