Search › Hawaii › 363LF0000X
Ibid Nicolaisen, NP
NPI 1780036517 · on the registry since 2016
Practice
- Address
- 81-980 Halekii St Ste 107
Kealakekua, HI 96750 - Phone
- (808) 324-0703
- Organisation at this address
- West Hawaii Community Health Center, Inc.
West Hawaii Community Health Center, Inc.
Dept. Of Health-Hawaii-Child And Adolescent Mental Health DivisionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 75-5751 Kuakini Hwy, Kailua Kona, HI
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- IA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii