| Doctor Name: | MRS. EILEEN K SOUDER |
| NPI Number: | 1114285749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SPO11914 |
| Business Practice Address: | 211 Telford Pike Telford, PA - 189692251 |
| Business Phone Number: | 2157237833 |
| Business Fax Number: | 2157232904 |
| Mailing Address: | 519 S 5th St Ste 130, PERKASIE |
| State: | PA |
| Postal Code: | 189441042 |
| Phone Number: | 2152578601 |
| Fax Number: | 2152578657 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SPO11914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |