Martha L Soder, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Newberry, MI
NPI 1487086161 · NPPES record last updated Aug 5, 2013
Key facts
- NPI
- 1487086161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 4704102016 (MI)
- Practice address
- 14126 County Road 428
Newberry, MI 49868-7762 - Phone
- (906) 233-1322
- Fax
- (906) 233-1220
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704102016 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704102016 | MI | Yes |
Addresses
Primary practice location
14126 County Road 428
Newberry, MI 49868-7762
Mailing address
14126 County Road 428
Newberry, MI 49868-7762
Phone (906) 233-1322
Other providers in Newberry, MI
- Sault Tribe of Chippewa Indians
- Sault Tribe of Chippewa Indians
- Renee Schwiderson
- Matthew John Shullick
- Joseph Philip Smithson
- Steve Vix, M.D.
- Brian Scott Stoynoff
- Superior Health & Wellness
- Superior Health and Wellness PLLC
- Superior Potential P.L.L.C.
All providers in Newberry, MI · Psychiatric/Mental Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.