Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Sophia Victoria Wasserwald, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1376176370

Mrs. Sophia Victoria Wasserwald, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

800 Walnut St Fl 9
Philadelphia, PA 19107-5176
Phone: (215) 316-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP021057 (PA)

Record details

NPI number1376176370
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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