Individual
MRS. SOPHIA VICTORIA WASSERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 WALNUT ST FL 9, PHILADELPHIA, PA 19107-5176
(215) 316-5151
Mailing address
800 WALNUT ST FL 9, PHILADELPHIA, PA 19107-5176
(215) 829-5027
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021057
PA
Other
Enumeration date
02/18/2020
Last updated
06/25/2020
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