Individual
LARISA SOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
17931 SARATOGA TRL, STRONGSVILLE, OH 44136-7229
(216) 262-3173
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
326528
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61246495
WA
Other
Enumeration date
11/02/2020
Last updated
12/22/2021
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