Provider Demographics
NPI:1457137846
Name:LAM, NINA MEILAN (RN)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:MEILAN
Last Name:LAM
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2645
Mailing Address - Country:US
Mailing Address - Phone:786-949-7440
Mailing Address - Fax:
Practice Address - Street 1:1111 LINCOLN RD STE 375
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2407
Practice Address - Country:US
Practice Address - Phone:786-949-7440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9602494163W00000X
FL11036311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse