Healthcare Provider Details

I. General information

NPI: 1063234110
Provider Name (Legal Business Name): CHRISTINA MARIE SOLT DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ESSIE DAVISON DR
CLARINDA IA
51632-2915
US

IV. Provider business mailing address

1006 N 6TH ST
RED OAK IA
51566-1940
US

V. Phone/Fax

Practice location:
  • Phone: 712-542-2176
  • Fax:
Mailing address:
  • Phone: 712-789-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA181941
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: