Individual
SOPHIA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7 ALFRED ST, WOBURN, MA 01801-1976
(781) 569-6022
Mailing address
7 ALFRED ST, WOBURN, MA 01801-1976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2365526
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2365526
MA
Other
Enumeration date
06/10/2022
Last updated
09/23/2024
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