Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlotte Stephanie Nicolas, FNP

Individual provider Family Nurse Practitioner · NPI 1568961621

Charlotte Stephanie Nicolas, FNP is a Nurse Practitioner in Long Beach, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4401 Atlantic Ave Ste 202
Long Beach, CA 90807-2252
Phone: (562) 988-2777
Fax: (562) 988-2779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5122 Katella Ave Ste 308, Los Alamitos, CA 90720-2898 — (562) 594-8555

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95008454 (CA)

Record details

NPI number1568961621
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 5, 2018
Last updated in NPPESMay 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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