Shelley Nicholls
Nurse Practitioner - Pediatrics
1450 Nw 10th Ave
Miami
, Florida 33136-1011
Shelley Nicholls
Nurse Practitioner - Pediatrics
1450 Nw 10th Ave
Miami
, Florida 33136-1011
(954) 467-7432
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Shelley Nicholls
- 1700 Nw 49th St Ste 125
- Fort Lauderdale, FL
- Zip : 33309-3750
- Fax : (954) 467-7432
- Phone : (954) 764-0921
Second Address
- Shelley Nicholls
- 1450 Nw 10th Ave
- Miami, FL
- Zip : 33136-1011
- Fax : (305) 243-5791
- Phone : (305) 243-3498
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FAQs
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Is Shelley Nicholls a sole practitioner?
Is Shelley Nicholls accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 9267307 | FL |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN9267307 | FL |
National Provider Identifier
| NPI | 1013424555 |
|---|---|
| Provider Name | Shelley Nicholls |
| First Address | Fort Lauderdale, FL 33309-3750 |
| Second Address | Miami, FL 33136-1011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2018 |
| Last Update Date | 05/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.