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Individual
SOPHIA MONTISSOL
Active
Individual
SOPHIA MONTISSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23005589
MA
363LF0000X
Family Nurse Practitioner
2305589
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2305589
MA
Other
Enumeration date
02/01/2018
Last updated
07/28/2026
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