Revoredo, Nicole Marie

Revoredo, Nicole Marie is an individual health care provider with primary practice located at 14600 Nw 60Th Ave Unit B , Miami Lakes FL 33014-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Revoredo, Nicole Marie can be contacted via phone (305) 698-4500.

Contact Information

Primary practice address
14600 Nw 60Th Ave Unit B Miami Lakes FL 33014-2811
Phone: (305) 698-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11030188 Florida

Profile Details

NPI number 1902677388
LBN Legal business name Revoredo, Nicole Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2024
Last updated Jan 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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