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

Mrs. Vivarian Nicole Malcolm, FNP-C

Individual provider Nurse Practitioner · NPI 1558089607

Mrs. Vivarian Nicole Malcolm, FNP-C is a Nurse Practitioner in Riverview, Florida. Qualified in 2020, 6 years ago. Practices with Premier Hospitalists Pl, an 18-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7229 US Highway 301 S
Riverview, FL 33578-4346
Phone: (813) 677-8418
Fax: (813) 355-5906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11021420 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11021420 (FL)

Record details

NPI number1558089607
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 16, 2022
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Hospitalists Pl — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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