MEDICARE: NICOLE PADILLA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9273653	FL

General Provider Information

NPI Number	:	1275918203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE PADILLA ARNP

Provider Business Mailing Address
First Line	:	18706 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2408
Country	:	US
Telephone Number	:	786-563-0280
Fax Number	:	786-563-0281

Provider Business Practice Location Address
First Line	:	18706 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2408
Country	:	US
Telephone Number	:	786-563-0280
Fax Number	:	786-563-0281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	01/13/2026

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Directions to “ NICOLE PADILLA ARNP” Practice Location

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