Provider Demographics
NPI:1447634423
Name:SOIKKELI, KAREN S (FNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:SOIKKELI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 LOS CERROS DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2741
Mailing Address - Country:US
Mailing Address - Phone:626-827-1626
Mailing Address - Fax:
Practice Address - Street 1:1834 LOS CERROS DR
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2741
Practice Address - Country:US
Practice Address - Phone:626-827-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95002681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily