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Individual

MELANIE R SOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
30811 QUINNON EXT RD E, WILKESON, WA 98396-1004
(906) 280-3918
Mailing address
PO BOX 90, WILKESON, WA 98396-0090

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222244-30
WI
163W00000X
Registered Nurse
28251764A
IN
163W00000X
Registered Nurse
4704226990
MI
363LF0000X
Family Nurse Practitioner
71009982A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61317504
WA

Other

Enumeration date
01/08/2019
Last updated
09/28/2024
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