Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY ROBERT NICOLARSEN, MD
ActiveDR. JEREMY ROBERT NICOLARSEN, MD is a Pediatric Cardiology healthcare provider located in COEUR D ALENE, Idaho. NPI 1891946778 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1891946778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2008 (17.872026715015 yrs)
- Last Updated
- Oct 2, 2020
- License
-
M13579 (ID)
Practice Information
- Address
-
2003 KOOTENAI HEALTH WAYCOEUR D ALENE, ID, 838146051Browse ID providers · Browse ZIP 83814
- Phone
- 2086254000
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
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.