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

Wuraola Sofowote

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033805650

Wuraola Sofowote is a Nurse Practitioner in Syracuse, New York. Qualified in 2010, 16 years ago. Practices with Psychiatry Faculty Practice, Inc, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and New York.

Years since qualifying
16
Licensed in
MD, NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

719 Harrison St
Syracuse, NY 13210-2695
Phone: (315) 464-3265
Fax: (315) 464-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406332 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R198543 (MD)

Record details

NPI number1033805650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 26, 2025
Mailing address719 Harrison St, Syracuse, NY 13210-2695

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Psychiatry Faculty Practice, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Syracuse