Individual
AMANDA ELIZABETH SOULLIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
741 PINNACLE DR, PAPILLION, NE 68046-6269
(402) 932-8384
(402) 932-8863
Mailing address
5112 RAVEN OAKS DR, OMAHA, NE 68152-1745
(402) 309-9946
(402) 932-8863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN112215
NE
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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