{"id":1190,"date":"2026-10-16T13:08:09","date_gmt":"2026-10-16T17:08:09","guid":{"rendered":"https:\/\/www.toplinemd.com\/fabienne-achille\/?page_id=1190"},"modified":"2026-10-16T13:08:09","modified_gmt":"2026-10-16T17:08:09","slug":"nicole-darby-ramirez-cnm-arnp","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/fabienne-achille\/nicole-darby-ramirez-cnm-arnp\/","title":{"rendered":"Nicole Darby Ramirez, CNM, ARNP"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:center bottom;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10%;--awb-padding-bottom:10%;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Dr.-Fabienne-Achille-Header-background.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_5 3_5 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:1px;--awb-bg-image:linear-gradient(180deg, rgba(89,92,166,0.3) 0%,rgba(89,92,166,0.3) 100%);--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;--awb-margin-top:30px;--awb-margin-bottom:30px;--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:63;line-height:1.1;\"><strong>Nicole Darby Ramirez, CNM, ARNP<\/strong><\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling padding-wrapper\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-right:0px;--awb-padding-bottom:5%;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_5 2_5 fusion-two-fifth fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:40%;width:calc(40% - ( ( 0 ) * 0.4 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-dropshadow imageframe-1 hover-type-none\" style=\"-webkit-box-shadow: 3px 3px 7px rgba(124,124,124,0.3);box-shadow: 3px 3px 7px rgba(124,124,124,0.3);\"><img decoding=\"async\" width=\"300\" height=\"450\" alt=\"Nicole Darby Ramirez, CNM, ARNP\" title=\"Nicole Darby Ramirez, CNM, ARNP\" src=\"https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2026\/10\/Nicole-Darby-Ramirez-CNM-ARNP.jpg\" class=\"img-responsive wp-image-1189\" srcset=\"https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2026\/10\/Nicole-Darby-Ramirez-CNM-ARNP-200x300.jpg 200w, https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2026\/10\/Nicole-Darby-Ramirez-CNM-ARNP.jpg 300w\" sizes=\"(max-width: 1000px) 100vw, 300px\" \/><\/span><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_3_5 3_5 fusion-three-fifth fusion-column-last padding-box \" style=\"--awb-padding-right:5%;--awb-padding-bottom:5%;--awb-padding-left:5%;--awb-bg-size:cover;--awb-margin-bottom:0px;width:60%;width:calc(60% - ( ( 0 ) * 0.6 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"--awb-margin-bottom:20px;\"><p>Nicole Darby Ramirez is a Certified Nurse Midwife (CNM) and Advanced Registered Nurse Practitioner (ARNP) with more than 15 years of experience in nursing and women\u2019s health.<\/p>\n<p>She earned her bachelor\u2019s degree in biology, with a focus in pre-professional studies, from Florida Atlantic University, followed by a second bachelor\u2019s degree in nursing from South University. Nicole spent 10 years working as a registered nurse, including seven years in labor and delivery, before earning her Master of Science in Nurse Midwifery from Frontier Nursing University, where she graduated with high honors.<\/p>\n<p>Nicole has practiced as a Certified Nurse Midwife for five years and is an active member of the American College of Nurse-Midwives.<\/p>\n<p>She is passionate about women\u2019s health and empowering women through every stage of life. Her areas of interest include gynecology, PCOS\/PMOS, family planning and contraception, preconception counseling, perimenopause, labor and birth support, breastfeeding, and postpartum care.<\/p>\n<p>Nicole believes every woman deserves individualized, evidence-based care that respects her goals, values, and autonomy. She prioritizes patient safety, informed decision-making, shared decision-making, and creating a supportive environment where patients feel heard and empowered.<\/p>\n<p>As a midwife, Nicole is a strong advocate for physiologic birth while also recognizing the importance of collaborative, hospital-based care when intervention is needed. She believes every pregnancy and birth experience is unique and strives to create meaningful, memorable experiences for women and their families.<\/p>\n<p>Nicole is VBAC-friendly and fluent in Spanish.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-bg-parallax\" data-bg-align=\"center top\" data-direction=\"up\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.3\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Patient-feedback.jpg\" data-bg-repeat=\"false\" data-bg-gradient-type=\"linear\" data-bg-gradient-angle=\"180\" data-bg-gradient-start-color=\"rgba(89,92,166,0.86)\" data-bg-gradient-start-position=\"0\" data-bg-gradient-end-color=\"rgba(89,92,166,0.66)\" data-bg-gradient-end-position=\"100\" data-bg-radial-direction=\"center center\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-parallax-up nonhundred-percent-fullwidth non-hundred-percent-height-scrolling padding-wrapper\" style=\"--awb-background-position:center top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:2%;--awb-padding-bottom:4%;--awb-background-image:linear-gradient(180deg, rgba(89,92,166,0.86) 0%,rgba(89,92,166,0.66) 100%),url(https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Patient-feedback.jpg);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last padding-null\" style=\"--awb-padding-top:40px;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#f1b1c1;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:47;line-height:1.2;\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">Patient Feedback<\/span><\/p><\/h2><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first fusion-animated\" style=\"--awb-padding-bottom:10px;--awb-bg-image:linear-gradient(180deg, rgba(89,92,166,0.7) 0%,rgba(89,92,166,0.8) 100%);--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\" data-animationType=\"slideInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#f1b1c1;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><span style=\"color: #ffffff;\"><strong>Michelle A.<\/strong><\/span><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\" style=\"color: white;\"><\/i> <span style=\"color: #ffffff;\">Super professional, hard to find doctors in south florida who take their time and genuinely care about their patient. 10\/10\u00a0\u00a0<\/span><i class=\"fas fa-quote-right\" style=\"color: white;\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_3 1_3 fusion-one-third fusion-animated\" style=\"--awb-padding-bottom:11px;--awb-bg-image:linear-gradient(180deg, rgba(89,92,166,0.77) 0%,rgba(89,92,166,0.74) 100%);--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\" data-animationType=\"slideInDown\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#f1b1c1;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><span style=\"color: #ffffff;\"><strong>Teresa L.<\/strong><\/span><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-3\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\" style=\"color: white;\"><\/i><span style=\"color: #ffffff;\">\u00a0\u00a0Dr Achille and her entire staff from nurses to front office are amazing! She is incredibly compassionate and professional! I would recommend her to EVERYONE without hesitation!! If you are looking for an amazing OBGYN Dr. Achille is the best!!\u00a0\u00a0<\/span><i class=\"fas fa-quote-right\" style=\"color: white;\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last fusion-animated\" style=\"--awb-padding-bottom:10px;--awb-bg-image:linear-gradient(180deg, rgba(89,92,166,0.73) 0%,rgba(89,92,166,0.77) 100%);--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );\" data-animationType=\"slideInRight\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#f1b1c1;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:27;line-height:1.5;\"><p style=\"text-align: center; font-size: 22px;\"><span style=\"color: #ffffff;\"><strong>Annette S.<\/strong><\/span><\/p><\/h3><\/div><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: center;\"><span style=\"font-weight: 400;\"><i class=\"fas fa-quote-left\" style=\"color: white;\"><\/i><span style=\"color: #ffffff;\">\u00a0\u00a0Even though I had an evening appointment, I was seen right away. Dr Achille has a wonderful bedside manner.\u00a0\u00a0<\/span><i class=\"fas fa-quote-right\" style=\"color: white;\"><\/i><\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<br \/>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling padding-wrapper\" style=\"--awb-background-position:center top;--awb-background-blend-mode:overlay;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:#ffffff;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-background-image:linear-gradient(180deg, rgba(111,113,165,0.6) 0%,#6f71a5 100%);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_3_5 3_5 fusion-flex-column padding-null\" style=\"--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:20px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:#585858;--awb-margin-bottom:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:47;line-height:1.2;\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">Request an Appointment<\/span><\/p><\/h2><\/div><div class=\"fusion-text fusion-text-5 fusion-text-no-margin\" style=\"--awb-margin-bottom:20px;\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">Have a question about our practice or want to schedule an appointment? Reach out and speak with a member of our team.<\/span><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"tel:+19548332026\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Call Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<br \/>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns wh2footerlogos\" 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class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"\/fabienne-achille\/\" target=\"_self\" aria-label=\"Fabienne Achille\"><img decoding=\"async\" width=\"270\" height=\"100\" src=\"https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Fabienne-Achille.png\" alt class=\"img-responsive wp-image-1105\" srcset=\"https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Fabienne-Achille-200x74.png 200w, https:\/\/www.toplinemd.com\/fabienne-achille\/wp-content\/uploads\/sites\/109\/2020\/11\/Fabienne-Achille.png 270w\" sizes=\"(max-width: 1000px) 100vw, 270px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last wh2footerlogo\" 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