Provider Demographics
NPI:1891705562
Name:ALMEROTH, NANCY ADLIN (NP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ADLIN
Last Name:ALMEROTH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ADLIN
Other - Last Name:GRACIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:900 SW 12 ST
Mailing Address - Street 2:#206
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1383
Mailing Address - Country:US
Mailing Address - Phone:954-522-3731
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1096
Practice Address - Country:US
Practice Address - Phone:305-585-5178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL451122363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics