Individual provider · NPI-1

Sophia Anne Agne, RN

Registered Nurse, Psych/Mental Health, Adult · San Diego, CA

NPI number1194406470
StatusActive
Last updated in NPPESAug 3, 2023

Details

NPI
1194406470
Entity type
Individual (NPI-1)
Name
Sophia Anne Agne
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2023
Certification date
Aug 3, 2023
Last updated
Aug 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult95314357CAYes
163WC1500X Registered Nurse, Community Health566215CA
163W00000X Registered Nurse95314357CA

Practice location

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

Mailing address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-692-8232

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