MEDICARE: NAHOMIE MIRVILLE DNP,FNP-BC, 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	ARNP9225337	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	:	1285172114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHOMIE MIRVILLE DNP,FNP-BC, ARNP

Provider Business Mailing Address
First Line	:	3700 WASHINGTON ST STE 104
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-8291
Country	:	US
Telephone Number	:	305-836-1090
Fax Number	:	305-836-1199

Provider Business Practice Location Address
First Line	:	3700 WASHINGTON ST STE 104
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-8291
Country	:	US
Telephone Number	:	305-836-1090
Fax Number	:	305-836-1199

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

Provider Enumeration Date	:	02/11/2017
Last Update Date	:	02/18/2020

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