Sophia Tiefenthaler Valid NPI
Individual provider · Registered Nurse · O Fallon, MO
- NPI
- 1720935901
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- 2019038113 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
Practice location
1011 Sunset Vista Cir
O Fallon, MO 63366-5257
(636) 544-9729