Healthcare Provider Details

I. General information

NPI: 1497510739
Provider Name (Legal Business Name): SOPHIA ROWE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 UNIVERSITY DR STE 1100
MARION OH
43302-1118
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-692-4450
  • Fax: 740-692-4451
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042548
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: