Individual
MRS. ELENA RAE SOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
77 E WOODBURY DR, SUITE 110, DAYTON, OH 45415-2855
(937) 277-1722
(937) 277-8618
Mailing address
2912 SPRINGBORO RD, SUITE 201, MORAINE, OH 45439-1674
(937) 277-1722
(937) 277-8618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117745
—
OH
Enumeration date
01/22/2015
Last updated
03/26/2015
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