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Individual

SOPHIA FELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C, IBCLC

Contact information

Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0999
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60785562
WA
363LF0000X
Family Nurse Practitioner
201709200NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP134411
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500735227
OR
Enumeration date
10/24/2017
Last updated
08/28/2021
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