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Individual

BEVERLY ANN SOUKUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2292
(319) 338-0581
Mailing address
2113 NORCOR AVE, CORALVILLE, IA 52241-9727
(319) 338-0581

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
071432
IA

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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