Individual
KATHERINE SOLDEVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2778 HIGHWAY 51 S, SENATOBIA, MS 38668-9403
(662) 767-4200
(662) 767-4204
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(662) 767-4204
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
640662976
MS
363L00000X
Nurse Practitioner
Primary
895910
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04800061
—
MS
Enumeration date
03/24/2014
Last updated
11/24/2020
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