Individual
MARY CATHERINE SOISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4863 SCOTTSVILLE RD STE B, BOWLING GREEN, KY 42104-7949
(270) 843-5662
(270) 843-5614
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100719400
—
KY
Enumeration date
11/10/2020
Last updated
12/30/2021
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