Individual
SOPHIA ELIZABETH MALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, ARNP
Contact information
Practice address
1801 NW MARKET ST STE 403, SEATTLE, WA 98107-3901
(206) 297-5100
(206) 297-5151
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60978913
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60978914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215467527
—
WA
Enumeration date
06/19/2017
Last updated
11/25/2019
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