Ibid M Nicolaisen, NP
NPI #1780036517 in Kealakekua, Hawaii
Provider Information
- NPI Number
- 1780036517
- Entity Type
- Individual
- Name
- Ibid M Nicolaisen, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jul 5, 2016
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 81-980 HALEKII ST STE 107
- City
- Kealakekua
- State
- Hawaii
- ZIP Code
- 96750-8177
- Phone
- (808) 324-0703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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