Healthcare Provider Details

I. General information

NPI: 1285172114
Provider Name (Legal Business Name): NAHOMIE MIRVILLE DNP,FNP,ARNP,PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2017
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N UNIVERSITY DR STE 108
CORAL SPRINGS FL
33071-6085
US

IV. Provider business mailing address

1515 N UNIVERSITY DR STE 108
CORAL SPRINGS FL
33071-6085
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-9682
  • Fax: 888-649-2171
Mailing address:
  • Phone: 877-777-1799
  • Fax: 888-849-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9225337
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9225337
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: