Kallstrom, Nicole
Kallstrom, Nicole is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Kallstrom, Nicole can be contacted via phone (954) 265-5970.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021-5421
Phone: (954) 265-5970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP934484 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ARNP934484 | Florida |
Profile Details
NPI number | 1477079168 |
---|---|
LBN Legal business name | Kallstrom, Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2017 |
Last updated | Mar 23rd, 2021 - about 3 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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