Individual provider · NPI-1

Nicole Addison, ARNP

Nurse Practitioner · St Petersburg, FL

NPI number1134530041
StatusActive
Last updated in NPPESMay 13, 2014

Details

NPI
1134530041
Entity type
Individual (NPI-1)
Name
Nicole Addison
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2014
Last updated
May 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner9284303FLYes

Practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Phone 727-322-1054

Mailing address

81 16th St S
St Petersburg, FL 33705-1600

Phone 321-271-1431

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