Individual
SOPHIA C LIVADITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 PINE GROVE CMNS, YORK, PA 17403-5151
(717) 851-5736
(717) 851-6162
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN287680L
PA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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