Healthcare Provider Details

I. General information

NPI: 1053231613
Provider Name (Legal Business Name): SOPHIE MARIE HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S 7TH ST
OAKES ND
58474-2024
US

IV. Provider business mailing address

420 S 7TH ST
OAKES ND
58474-2024
US

V. Phone/Fax

Practice location:
  • Phone: 701-742-3267
  • Fax:
Mailing address:
  • Phone: 701-742-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200444
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: