Nicole Marie Fernandez
Individual provider Active NPI Women's Health Nurse Practitioner · Coconut Grove, FL
NPI 1750216685 · NPPES record last updated Jun 13, 2026
Key facts
- NPI
- 1750216685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 9661046 (FL)
- Practice address
- 2666 Tigertail Ave Apt 109
Coconut Grove, FL 33133-4651 - Phone
- (305) 778-9853
- NPI assigned
- Jun 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner |
363LW0102X | 9661046 | FL | Yes |
Addresses
Primary practice location
2666 Tigertail Ave Apt 109
Coconut Grove, FL 33133-4651
Mailing address
2666 Tigertail Ave Apt 109
Coconut Grove, FL 33133-4651
Other providers in Coconut Grove, FL
- Jennifer Amanda Eguino
- Sibel Eljach
- Melanie Susan Ervin
- Howard Joshua Federoff
- Emily Fernandez
- Sophia Fernandez
- Chelsea Louise Forte
- Eddi Ann Freeman
- Stephanie Freyre
- Oriett Garay
All providers in Coconut Grove, FL · Women's Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.