Individual provider · Type 1 NPI

Hannah Sodergren, DO

Student in an Organized Health Care Education/Training Program · Orange Park, FL

NPI number 1659011690 Active

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5156

Call (904) 639-8500 Map

Mailing address

4848 72nd Ave NE
Olympia, WA 98516-9511

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XOP61645964 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659011690

Hannah Sodergren, DO's National Provider Identifier is 1659011690, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange Park, FL. The record was last updated on May 11, 2025.