Healthcare Provider Details

I. General information

NPI: 1376461236
Provider Name (Legal Business Name): MISS TORY PAULINE SOUCIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 10TH AVE
SIDNEY NE
69162-1609
US

IV. Provider business mailing address

PO BOX 932
CHAPPELL NE
69129-0932
US

V. Phone/Fax

Practice location:
  • Phone: 308-524-5063
  • Fax: 308-249-6728
Mailing address:
  • Phone: 402-326-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: