Provider Demographics
NPI:1952366759
Name:NEDD, NICOLE MARIE (EDD, ARNP)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MARIE
Last Name:NEDD
Suffix:
Gender:F
Credentials:EDD, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5701 COLLINS AVE
Mailing Address - Street 2:PH-9
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2353
Mailing Address - Country:US
Mailing Address - Phone:305-575-7150
Mailing Address - Fax:305-575-7151
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:11A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-7150
Practice Address - Fax:305-575-7151
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2628282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily