Individual
MS. CHRISTEN SOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
Mailing address
200 OCEANGATE, LONG BEACH, CA 90802-4302
(562) 499-6191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95020761
—
CA
Enumeration date
05/26/2022
Last updated
05/26/2022
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