Individual
FRANCISCA MOURA-SOUCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1728 WILLIAMS WAY E, ANDERSON, IN 46011-8701
(765) 617-8398
Mailing address
1728 WILLIAMS WAY E, ANDERSON, IN 46011-8701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002095A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200806330
—
IN
01
—
P01192266
RR MEDICARE PTAN
IN
Enumeration date
05/05/2006
Last updated
05/03/2017
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