person
Timothy Robert Nickolaus, PA
Medical Physician Assistant in Richland, Washington
NPI 1518250554

Timothy Robert Nickolaus is a Medical Physician Assistant based in Richland, WA and is specialized in Medical. Timothy Robert Nickolaus practices in Richland, WA and has the professional credentials of PA. The NPI Number for Timothy Robert Nickolaus is 1518250554 and holds a License No. PA60217353 (Washington).

The current practice location address for Timothy Robert Nickolaus is 875 Swift Blvd, Richland, WA and can be reached out via phone at 509-946-1654 and via fax at 509-943-5652.

Location: 875 Swift Blvd, Richland, WA, 99352
person
Provider Profile Details
NPI Number
1518250554
Provider Name
Timothy Robert Nickolaus
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
875 Swift Blvd, Richland, WA, 99352
Phone Number
509-946-1654
Fax Number
509-943-5652
Provider Enumeration Date
05/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518250554 05 WA
institution
Provider Business Practice Location Address Details
Address
875 Swift Blvd
City
State
Zip
99352-3592
Phone Number
509-946-1654
Fax Number
509-943-5652
person
Provider Business Mailing Address Details
Address
875 Swift Blvd
City
State
Zip
99352-3592
Phone Number
509-946-1654
Fax Number
509-943-5652
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60217353 (Washington)
Definition
Definition to come...
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