Individual
MRS. SOPHIA DANNA YEVTUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3 WALNUT ST STE 100, LEMOYNE, PA 17043-1168
(717) 761-4141
Mailing address
3 WALNUT ST STE 100, LEMOYNE, PA 17043-1168
(717) 761-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020748
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103719590
—
PA
Enumeration date
09/16/2019
Last updated
12/16/2021
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