Maia Sophia Cancro, DO
Student in an Organized Health Care Education/Training Program in Wilmington, NC. Individual provider (NPI-1).
NPI number1194665000
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1194665000
- Entity type
- Individual (NPI-1)
- Name
- Maia Sophia Cancro
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2026
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | RTL26-0372 | NC | Yes |
Practice location
2523 Delaney AveWilmington, NC 28403-6003
Phone 910-763-5522
Mailing address
Po Box 936857Atlanta, GA 31193-6857
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