Shannon L Soderberg, APRN-NP
Nurse Practitioner, Psych/Mental Health in Omaha, NE. Individual provider (NPI-1).
NPI number1194459875
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1194459875
- Entity type
- Individual (NPI-1)
- Name
- Shannon L Soderberg
- Credential
- APRN-NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 114272 | NE | Yes |
Practice location
1000 N 90th St Ste 200Omaha, NE 68114-2766
Phone 402-955-3900 · Fax 402-955-3920
Mailing address
Po Box 24607Omaha, NE 68124-0607
Phone 402-955-5400 · Fax 402-955-3674
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