Noami Angelic Brackenridge
Nurse Practitioner in Miami, FL. Individual provider (NPI-1).
NPI number1669300331
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1669300331
- Entity type
- Individual (NPI-1)
- Name
- Noami Angelic Brackenridge
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11051547 | FL | Yes |
| 163W00000X | Registered Nurse | 9444827 | FL |
Practice location
2145 Nw 130th StMiami, FL 33167-1433
Phone 954-544-7411
Mailing address
2145 Nw 130th StMiami, FL 33167-1433
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