Individual
MRS. AMY SOULLIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4508 38TH ST, COLUMBUS, NE 68601-1668
(402) 562-3322
(402) 562-4458
Mailing address
4508 38TH ST STE 210, COLUMBUS, NE 68601-1668
(402) 562-3322
(402) 564-4458
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
63764
NE
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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