Individual provider · Type 1 NPI

Edith Karina De Soto, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Rockford, IL

NPI number 1699520932 Active

Practice location

483 N Mulford Rd Ste 8
Rockford, IL 61107-5164

Fax (779) 269-0744

Other practice locations

  • 2121 S 44th St, Omaha, NE 68105-2809 · (402) 807-5117

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X115516 (NE)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209.029566 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1699520932

Edith Karina De Soto, PMHNP-BC's National Provider Identifier is 1699520932, issued on Apr 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rockford, IL. The record was last updated on Nov 25, 2025.