Individual
HANNAH SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Mailing address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
750218
TX
Other
Enumeration date
01/09/2014
Last updated
06/28/2023
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