| Diane Souvenir, | |
|
7659 Mall Rd # 1053, Florence, KY 41042-1403 | |
| (347) 761-2905 | |
| Not Available |
| Full Name | Diane Souvenir |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7659 Mall Rd # 1053, Florence, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346169430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4000716 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Souvenir, 2672 Berwood Ln, Hebron, KY 41048-8241 Ph: Not Available | Diane Souvenir, 7659 Mall Rd # 1053, Florence, KY 41042-1403 Ph: (347) 761-2905 |
Carl Brueggemann Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8718 Signal Pointe Ct, Florence, KY 41042 Phone: 859-371-6419 |
Christopher Treon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7380 Turfway Rd, Florence, KY 41042 Phone: 859-212-5200 Fax: 859-212-5130 |