Individual provider · Type 1 NPI

Derek Nathaniel Nikolaus

Student in an Organized Health Care Education/Training Program · Gainesville, GA

NPI number 1467248187 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3715

Call (770) 219-9000 Map

Mailing address

693 Shadden Rd
Johnson City, TN 37615-4285

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467248187

Derek Nathaniel Nikolaus's National Provider Identifier is 1467248187, issued on Apr 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on Apr 18, 2025.