Individual
SOPHIA P KOUMARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-3413
(215) 938-3422
Mailing address
1650 HUNTINGDON PIKE, SUITE 313, MEADOWBROOK, PA 19046-8004
(215) 938-3413
(215) 938-3422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN563670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084390
AANA CERTIFICATION
—
Enumeration date
12/08/2009
Last updated
12/08/2009
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