Provider Demographics
NPI:1548237670
Name:NIGRO, ANN MARGARET (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARGARET
Last Name:NIGRO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 PUMPKIN PL NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-4006
Mailing Address - Country:US
Mailing Address - Phone:321-412-1702
Mailing Address - Fax:321-726-5959
Practice Address - Street 1:1350 HICKORY ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3224
Practice Address - Country:US
Practice Address - Phone:321-412-1702
Practice Address - Fax:321-726-5959
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2738262163WR0006X
FLAPRN11012609363LW0102X
FL11012609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111557300Medicaid
FLY000SOtherBCBS
FL311962900Medicaid