Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Kallstrom

Individual provider Family Nurse Practitioner · NPI 1477079168

Nicole Kallstrom is a Family Nurse Practitioner in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3501 Johnson St
Hollywood, FL 33021-5421
Phone: (954) 265-5970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence ARNP934484 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP934484 (FL)

Record details

NPI number1477079168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address1117 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4488

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