Sophia Mazhou, - Nurse Practitioner in Kennett, MO

Sophia Mazhou, is a Nurse Practitioner - Psychiatric/mental Health based in Kennett, Missouri. Sophia Mazhou is licensed to practice in Missouri (license number 2023034767) and her current practice location is 901 W Commercial St, Kennett, Missouri. She can be reached at her office (for appointments etc.) via phone at (870) 489-8633.

NPI number for Sophia Mazhou is 1801657853 and her current mailing address is 2010 Castlebar Dr, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801657853.

Contact Information

Sophia Mazhou,
901 W Commercial St,
Kennett, MO 63857-1100
(870) 489-8633
Not Available

Map and Direction




Provider's Profile

Full NameSophia Mazhou
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location901 W Commercial St, Kennett, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801657853
  • Provider Enumeration Date: 01/17/2024
  • Last Update Date: 01/17/2024

Medical Identifiers

Medical identifiers for Sophia Mazhou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801657853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028551 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2023034767 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Mazhou is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sophia Mazhou,
2010 Castlebar Dr,
Saint Louis, MO 63146-3731

Ph: (314) 406-0155
Sophia Mazhou,
901 W Commercial St,
Kennett, MO 63857-1100

Ph: (870) 489-8633

Reviews and Comments


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