Individual provider · Type 1 NPI
Nicole Marie Revoredo, APRN
Family Nurse Practitioner · Miami Lakes, FL
NPI number
1902677388
Active
Practice location
14600 NW 60th Ave Unit B
Miami Lakes, FL 33014-2811
Mailing address
11175 SW 115th Ter
Miami, FL 33176-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11030188 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902677388
Nicole Marie Revoredo, APRN's National Provider Identifier is 1902677388, issued on Jan 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami Lakes, FL. The record was last updated on Jan 12, 2024.