Individual
MS. SOPHIA H MIRAGEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5000
Mailing address
297 NORTH ST STE 221, HYANNIS, MA 02601-5133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2346673
MA
363LA2100X
Acute Care Nurse Practitioner
RN2346673
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN2346673
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110197807A
—
MA
Enumeration date
12/28/2022
Last updated
04/08/2026
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