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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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