Individual
SOPHIA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CNA
Contact information
Practice address
9401 W BELOIT RD, SUITE 101, MILWAUKEE, WI 53227-4357
(414) 301-3141
Mailing address
9401 W BELOIT RD, SUITE 101, MILWAUKEE, WI 53227-4357
(414) 301-3141
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871839143
—
WI
Enumeration date
02/15/2022
Last updated
02/15/2022
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