Individual
SOPHIA JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
168 KINSLEY ST, SUITE 4, NASHUA, NH 03060-3634
(603) 882-1501
Mailing address
168 KINSLEY ST, SUITE 4, NASHUA, NH 03060-3634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
064294-21
NH
163W00000X
Registered Nurse
9236951
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
064294-23
NH
367500000X
Certified Registered Nurse Anesthetist
9236951
FL
Other
Enumeration date
05/12/2011
Last updated
01/25/2023
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