Provider Demographics
NPI:1629951512
Name:BABIRYE, SOFIA
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:BABIRYE
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 1:1053 MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-1824
Mailing Address - Country:US
Mailing Address - Phone:617-971-6188
Mailing Address - Fax:
Practice Address - Street 1:1053 MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1824
Practice Address - Country:US
Practice Address - Phone:617-971-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN9520074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse