Individual
VANESSA BERRAME NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23559 STATE ROAD 54, LUTZ, FL 33559-6862
(772) 530-0010
(813) 909-1005
Mailing address
23559 STATE ROAD 54, LUTZ, FL 33559-6862
(772) 530-0010
(813) 909-1005
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11045162
FL
Other
Enumeration date
01/29/2026
Last updated
02/09/2026
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