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Ibid M Nicolaisen, NP
Family Nurse Practitioner in Kealakekua, Hawaii
NPI 1780036517

Ibid M Nicolaisen is a Family Nurse Practitioner based in Kailua Kona, HI and is specialized in Family. Ibid M Nicolaisen practices in Kealakekua, HI and has the professional credentials of NP. The NPI Number for Ibid M Nicolaisen is 1780036517 and holds a License No. A117690 (Hawaii).

The current practice location address for Ibid M Nicolaisen is 81-980 Halekii St Ste 107, Kealakekua, HI and can be reached out via phone at 808-324-0703.

Location: 81-980 Halekii St Ste 107, Kealakekua, HI, 96740-1753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780036517
Provider Name
Ibid M Nicolaisen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
81-980 Halekii St Ste 107, Kealakekua, HI, 96740-1753
Phone Number
808-324-0703
Fax Number
Provider Enumeration Date
07/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
81-980 Halekii St Ste 107
City
Kealakekua
State
Hawaii
Zip
96750-8177
Phone Number
808-324-0703
Fax Number
person
Provider Business Mailing Address Details
Address
81-980 Halekii St Ste 107
City
Kealakekua
State
Hawaii
Zip
96750-8177
Phone Number
808-324-0703
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A117690 (Iowa)
Definition
Definition to come...
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