person
John Eliot Nicolaisen, PA
Medical Physician Assistant in Apple Valley, California
NPI 1548666738

John Eliot Nicolaisen is a Medical Physician Assistant based in Blue Jay, CA and is specialized in Medical. John Eliot Nicolaisen practices in Apple Valley, CA and has the professional credentials of PA. The NPI Number for John Eliot Nicolaisen is 1548666738 and holds a License No. PA52168 (California).

The current practice location address for John Eliot Nicolaisen is 18523 Corwin Rd Ste G, Apple Valley, CA and can be reached out via phone at 760-242-3376.

Location: 18523 Corwin Rd Ste G, Apple Valley, CA, 92317-4057
person
Provider Profile Details
NPI Number
1548666738
Provider Name
John Eliot Nicolaisen
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
18523 Corwin Rd Ste G, Apple Valley, CA, 92317-4057
Phone Number
760-242-3376
Fax Number
Provider Enumeration Date
11/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18523 Corwin Rd Ste G
City
State
Zip
92307-2300
Phone Number
760-242-3376
Fax Number
person
Provider Business Mailing Address Details
Address
18523 Corwin Rd Ste G
City
State
Zip
92307-2300
Phone Number
760-242-3376
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA52168 (California)
Definition
Definition to come...
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