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Individual

SARA MARISHA SOUKUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 258-1121
(828) 252-6114
Mailing address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
(828) 299-2573

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005691
NC
364SM0705X
Medical-Surgical Clinical Nurse Specialist
5005691
NC

Other

Enumeration date
08/01/2012
Last updated
05/17/2024
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