Individual
SOPHIA ANNE MEDIRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Mailing address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP241651
ME
Other
Enumeration date
03/24/2025
Last updated
04/08/2025
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