SOPHEA BACHALIS CRNP NPI 1073050928

NPI Information

NPI: 1073050928
Provider Name: SOPHEA BACHALIS, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
3400 CIVIC CENTER BLVD
4TH FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 349-8222
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Sophea Bachalis, CRNP is a gerontology nurse practitioner in Philadelphia, PA with 8 years of experience. Sophea Bachalis, CRNP NPI is 1073050928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 CIVIC CENTER BLVD
4TH FLOOR
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 349-8222

The NPI 1073050928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 2/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		SP017123	PENNSYLVANIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	SP017123	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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