Individual provider · Type 1 NPI

Nimmi Maxmillian

Nurse Practitioner · Tampa, FL

NPI number 1154078103 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Other practice locations

  • 2020 Town Center Blvd Ste C, Brandon, FL 33511-2906 · (813) 633-1980

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11018577 (FL)
Nurse Practitioner Primary 363L00000XAPRN11018577 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154078103

Nimmi Maxmillian's National Provider Identifier is 1154078103, issued on Mar 9, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on May 8, 2026.