Individual
SOPHIA ROLAND DIORU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10374 SUTTON PL, MUNSTER, IN 46321-2882
(312) 479-1483
Mailing address
10374 SUTTON PL, MUNSTER, IN 46321-2882
(312) 479-1483
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0415011873
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
0415011873
IL
Other
Enumeration date
08/27/2025
Last updated
01/12/2026
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