Susan P Soule Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Vallejo, CA
- NPI
- 1528141058
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 244517 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-20
- Last updated
- 2007-07-08
Practice location
800 Sereno Drive
Vallejo, CA 94589
(707) 651-2613