Individual
MS. SOPHIE ROEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-2153
Mailing address
613 S 10TH ST, ESCANABA, MI 49829-3624
(678) 614-3865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704380820
MI
163W00000X
Registered Nurse
RN255897
GA
363L00000X
Nurse Practitioner
4704380820
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704380820
MI
Other
Enumeration date
11/16/2019
Last updated
03/17/2025
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