Souder, Mariah M
Souder, Mariah M is an sole proprietor health care provider with primary practice located at 1263 Lake Plaza Dr Ste 230 , Colorado Springs CO 80906-3512. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Souder, Mariah M can be contacted via phone (719) 776-3300.Contact Information
Primary practice address
1263 Lake Plaza Dr Ste 230
Colorado Springs CO 80906-3512
Phone: (719) 776-3300
Fax: (719) 776-3329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0997121-NP | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APN.0997121-NP | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN.0997121-NP | Colorado |
Profile Details
NPI number | 1528730918 |
---|---|
LBN Legal business name | Souder, Mariah M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2021 |
Last updated | Aug 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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