MEDICARE: NICOLE QUICK FISIKELLI 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	ARNP9361636	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093291916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE QUICK FISIKELLI ARNP

Provider Business Mailing Address
First Line	:	16700 SW 69TH ST
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-2010
Country	:	US
Telephone Number	:	954-850-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	8430 W BROWARD BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2700
Country	:	US
Telephone Number	:	954-473-1101
Fax Number	:

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

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	02/10/2026

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