MEDICARE: NICOLE ANN-MARIE EVERSLEY-HALL ARNP-C

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	363LA2200X	Adult Health Nurse Practitioner	ARNP 9190622	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	:	1952586653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ANN-MARIE EVERSLEY-HALL ARNP-C

Provider Business Mailing Address
First Line	:	PO BOX 934671
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33093-4671
Country	:	US
Telephone Number	:	954-532-3081
Fax Number	:	954-532-3064

Provider Business Practice Location Address
First Line	:	1451 W CYPRESS CREEK RD STE 300
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1953
Country	:	US
Telephone Number	:	954-532-3081
Fax Number	:	954-532-3064

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

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/28/2025

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