Individual
SOPHIA TIEFENTHALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 SUNSET VISTA CIR, O FALLON, MO 63366-5257
(636) 544-9729
Mailing address
1011 SUNSET VISTA CIR, O FALLON, MO 63366-5257
(636) 544-9729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019038113
MO
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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