Provider Demographics
NPI:1902632334
Name:SAPPER, SOPHIA (RD, LD)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:SAPPER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ROBERT S KERR AVE APT 221
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1836
Mailing Address - Country:US
Mailing Address - Phone:405-651-5673
Mailing Address - Fax:
Practice Address - Street 1:1601 S STATE ST STE 500
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3698
Practice Address - Country:US
Practice Address - Phone:405-254-6453
Practice Address - Fax:405-562-8735
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2611133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered