Provider Demographics
NPI:1609365337
Name:TSCHIDA, SOPHIA ONORATO
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ONORATO
Last Name:TSCHIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3592 PLEASANT BEACH DR NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2249
Mailing Address - Country:US
Mailing Address - Phone:206-293-1213
Mailing Address - Fax:
Practice Address - Street 1:3592 PLEASANT BEACH DR NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2249
Practice Address - Country:US
Practice Address - Phone:206-293-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula