Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IBID M NICOLAISEN, NP
ActiveIBID M NICOLAISEN, NP is a Family Nurse Practitioner healthcare provider located in KEALAKEKUA, Hawaii. NPI 1780036517 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · KEALAKEKUA, HI
Registration Details
- NPI Number
- 1780036517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2016 (10.0741188632 yrs)
- Last Updated
- Feb 25, 2021
- Licenses
-
A117690 (IA)APRN-2139 (HI)
Practice Information
- Address
-
81-980 HALEKII ST STE 107KEALAKEKUA, HI, 967508177Browse HI providers · Browse ZIP 96750
- Phone
- 8083240703
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in KEALAKEKUA, HI
| Name | Credential | NPI |
|---|---|---|
| PEGGY J PORTER | FNP | 1497881742 |
| MICHAEL MCKINLEY FOUNTAIN | FNP-BC | 1073023115 |
| MELANIE RENEE ELLIS | APRN, FNP-C | 1457816050 |
| MATISSE DIPIETRO | NP-C | 1861208944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.