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Search › California › 106S00000X

Nicholas Wennerholm

NPI 1861356057 · on the registry since 2025

Practice

Address
3429 Renner Dr
Fortuna, CA 95540
Phone
(707) 296-9295
Organisation at this address
Ikigai Physician Group Inc
Humboldt Neurohealth Therapeutic Services
Humboldt Neurohealth Therapeutic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
103K00000X
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-11

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 California