Individual
SOPHIA ANNEMARIE KHAWLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 N WESTFIELD ST, FEEDING HILLS, MA 01030-1606
(413) 831-7831
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(941) 357-7950
(941) 840-1003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10006540
MA
363LF0000X
Family Nurse Practitioner
9323668
FL
363LF0000X
Family Nurse Practitioner
APRN.CNP.0029313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014578000
—
FL
Enumeration date
10/17/2012
Last updated
06/27/2024
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