Sonja M. Roach in Moose Lake - Family

Sonja M. Roach - NPI 1396770772

Sonja M. Roach is a Family in Moose Lake, Minnesota. Sonja M. Roach practices all healthcare services and medical treatments related to Family. The NPI Number for Sonja M. Roach is 1396770772. The last update date is 2007-07-08.

Sonja M. Roach's current location address is 4570 County Highway 61, Moose Lake, Minnesota. You can contact this provider via phone number 2184854491 and fax number 2184854724. The mailing address for Sonja M. Roach is 4570 County Highway 61, Moose Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Sonja M. Roach
Address 4570 County Highway 61, Moose Lake, Minnesota
Phone Number 2184854491
Fax Number 2184854724
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1396770772
Provider Enumeration Date 2006-07-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4570 County Highway 61
City Moose Lake
State Minnesota (MN)
Post Code 55767
Phone Number 2184854491
Fax Number 2184854724

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R 147424-0
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Sonja M. Roach

What is the unique identifier code issued to Sonja M. Roach by the Centers for Medicare & Medicaid Services?

The Sonja M. Roach has been assigned the NPI (National Provider Identifier) 1396770772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sonja M. Roach is physically located?

The Sonja M. Roach is situated at the following address: 4570 County Highway 61, Moose Lake, MN 55767.

What is the Sonja M. Roach's area of specialization and corresponding taxonomy classification?

The Sonja M. Roach's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

When was the Sonja M. Roach's 1396770772 issued?

The Sonja M. Roach's 1396770772 was issued on 2006-07-12.

As of what date were the details related to Sonja M. Roach most recently updated or revised?

The information pertaining to Sonja M. Roach, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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