Individual provider · Type 1 NPI
Fernanda Bacolas
Adult Health Nurse Practitioner · Miami, FL
NPI number
1851184816
Active
Practice location
12435 SW 123rd Ter
Miami, FL 33186-9007
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Other practice locations
- 3501 Health Center Blvd Ste 1119, Estero, FL 34135-8130 · (239) 468-0226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2024102592 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11041659 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1851184816
Fernanda Bacolas's National Provider Identifier is 1851184816, issued on May 23, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Miami, FL. The record was last updated on Sep 24, 2025.