MEDICARE: MS. NOLMAR OCEAN APRN, PMHNP-BC

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	163W00000X	Registered Nurse	9617102	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11044108	FL

General Provider Information

NPI Number	:	1720678337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NOLMAR OCEAN APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	5340 NW 5TH TERRACE APT
Second Line	:	4106
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33064
Country	:	US
Telephone Number	:	561-708-2918
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1096
Country	:	US
Telephone Number	:	561-708-2918
Fax Number	:

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

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	01/09/2026

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