Individual provider · Type 1 NPI

Nicole Kallstrom

Pediatric Critical Care Medicine Physician · Hollywood, FL

NPI number 1477079168 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

1117 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4488

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XARNP934484 (FL)
Pediatric Critical Care Medicine Physician Primary 2080P0203XARNP934484 (FL)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1477079168

Nicole Kallstrom's National Provider Identifier is 1477079168, issued on Aug 15, 2017. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Hollywood, FL. The record was last updated on Mar 23, 2021.