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

MS. Myriame Mia Nicolas, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063106805

MS. Myriame Mia Nicolas, NP is a Nurse Practitioner in Coronado, California. Qualified in 2021, 5 years ago. Practices with Crownview Medical Group Inc, a 7-clinician group and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

158 C Ave
Coronado, CA 92118-1420
Phone: (619) 435-5400
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95024480 (CA)

Record details

NPI number1063106805
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Crownview Medical Group Inc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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