NICOLE MARIE REVOREDO APRN
NPI 1902677388
Nurse Practitioner - Family in Miami Lakes, FL

Q: What is Nicole Revoredo's NPI number?

The NPI number for Nicole Revoredo is 1902677388. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Q: What is Nicole Revoredo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Revoredo was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2024

14600 NW 60TH AVE UNIT B, MIAMI LAKES, FL 33014(305) 698-4500 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Marie Revoredo Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE REVOREDO APRN (NPI 1902677388) is an individual family provider in Miami Lakes, Florida, licensed in Florida (11030188) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1902677388

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE MARIE REVOREDOCredential: APRN

Location Address14600 NW 60TH AVE UNIT BMiami Lakes, FL 33014-2811

Mailing Address11175 Sw 115th TerMiami, FL 33176-3842

Phone(305) 698-4500

Sole ProprietorNo

Enumeration DateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1902677388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11030188

14600 NW 60TH AVE UNIT B, Miami Lakes, FL 33014

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Revoredo's NPI number?

The NPI number for Nicole Revoredo is 1902677388. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Nicole Revoredo located?

Nicole Revoredo practices at 14600 NW 60th Ave Unit B, Miami Lakes, FL 33014. The listed phone number is (305) 698-4500.

What is Nicole Revoredo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Revoredo was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.