Healthcare Provider Details

I. General information

NPI: 1891705562
Provider Name (Legal Business Name): NANCY ADLIN ALMEROTH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY ADLIN GRACIE NP

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12 AVE
MIAMI FL
33136-1096
US

IV. Provider business mailing address

900 SW 12 ST #206
FORT LAUDERDALE FL
33315-1383
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5178
  • Fax:
Mailing address:
  • Phone: 954-522-3731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number451122
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: