Active NPI 1396924585 Individual Practitioner Female Practitioner

Nancy Lea Underdahl , LPN

Licensed Practical Nurse • Niceville, FL

Professional Overview & Biography Verified Profile Summary

Nancy Underdahl, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Niceville, FL. Practice services are available at 4545 RANGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4545 Range Rd

Niceville, FL 325788713

Telephone 8508334240

Fax 8508334243

Associated Practice Facility / Clinic

🏢 Florida Department Of Health Facility NPI 1831280700

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Niceville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Niceville, FL (1995 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN1332311

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2008

Registered at 4545 RANGE RD, NICEVILLE, FL 325788713 (Tel: 8508334240)

📍

Updated Business Mailing Address February 11, 2008

Registered at 221 HOSPITAL DR NE, FORT WALTON BEACH, FL 325485066 (Tel: 8508339240)

👤

Provider Name / Credentials Updated February 11, 2008

Recorded as NANCY UNDERDAHL, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2008

Licensed Practical Nurse (License #PN1332311 in FL)

🟢

Initial NPI Registration & Enumeration October 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396924585

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2007

Last Update: February 11, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Hospital Dr Ne

Fort Walton Beach, FL 325485066

Phone: 8508339240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.