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GENEVIEVE SAN NICOLAS APRN AGACNP-BC DNP NPI 1174090500


NPI Information

NPI: 1174090500
Provider Name: GENEVIEVE SAN NICOLAS, APRN, AGACNP-BC, DNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

PECOS Registration: Yes

Address:
1611 NW 12TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 585-3986
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Genevieve San Nicolas, APRN, AGACNP-BC, DNP is a critical care medicine nurse practitioner in Miami, FL with 6 years of experience. Genevieve San Nicolas, APRN, AGACNP-BC, DNP NPI is 1174090500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136-096
Phone: (305) 585-3986

The NPI 1174090500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 8/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LC0200XNurse PractitionerCritical Care Medicine9363062FLORIDAYes
2363LF0000XNurse PractitionerFamily9363092FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.