Provider Demographics
NPI:1962196659
Name:BARBERINI, NICOLETTE ANASTASIA (FNP)
Entity type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:ANASTASIA
Last Name:BARBERINI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NICOLETTE
Other - Middle Name:ANASTASIA
Other - Last Name:LEMONIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 NE 65TH ST APT 312
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1554
Mailing Address - Country:US
Mailing Address - Phone:516-578-5730
Mailing Address - Fax:
Practice Address - Street 1:6660 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3167
Practice Address - Country:US
Practice Address - Phone:404-996-0195
Practice Address - Fax:404-531-0967
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026693363LF0000X
GAGAA-NP001822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily