Kristine Dawn Soderstrom , LPN
Licensed Practical Nurse • Grand Island, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kristine Soderstrom has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kristine Soderstrom, LPN was a registered Licensed Practical Nurse practicing in Grand Island, NE. Throughout an active medical career spanning 10 years, Kristine Soderstrom provided care at the practice location at 914 BAUMANN DR until profile deactivation on 2017-03-31.
Practice Location & Contact Primary Location
914 Baumann Dr
Grand Island, NE 688034401
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Grand Island, NE
Practicing in Grand Island, NE (583 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 31, 2017
NPI status registered as active in NPPES database
Registered at 914 BAUMANN DR, GRAND ISLAND, NE 688034401 (Tel: 3083855250)
Registered at 914 BAUMANN DR, GRAND ISLAND, NE 688034401 (Tel: 3083855250)
Recorded as KRISTINE SODERSTROM, LPN
Licensed Practical Nurse (License #19822 in NE)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
914 Baumann Dr
Grand Island, NE 688034401
Phone: 3083855250
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