Individual provider · Type 1 NPI
Shannon L. Soderberg, APRN-NP
Psychiatric/Mental Health Nurse Practitioner · Omaha, NE
NPI number
1194459875
Active
Practice location
1000 N 90th St Ste 200
Omaha, NE 68114-2766
Fax (402) 955-3920
Mailing address
PO Box 24607
Omaha, NE 68124-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 114272 (NE) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194459875
Shannon L. Soderberg, APRN-NP's National Provider Identifier is 1194459875, issued on Jul 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Omaha, NE. The record was last updated on Nov 16, 2023.