Provider Demographics
NPI:1497516520
Name:HUEY, SOPHIE PAGE (NP)
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:PAGE
Last Name:HUEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:PAGE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 EXEMPLA CIR STE 420
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3496
Mailing Address - Country:US
Mailing Address - Phone:720-565-6101
Mailing Address - Fax:
Practice Address - Street 1:300 EXEMPLA CIR STE 420
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3496
Practice Address - Country:US
Practice Address - Phone:720-565-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998998-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily