Individual provider · Type 1 NPI
Robert S. Nickolisen, MD
Specialist · Parker, AZ
NPI number
1487692125
Active
Practice location
601 W Riverside Dr, Suites 3 And 4
Parker, AZ 85344-5119
Mailing address
2485 Stroke Dr
Lake Havasu City, AZ 86406-7622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 15301 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5 other providers at this address
- Arizona Heart Institute ParkerCardiovascular Disease Physician Parker, AZ NPI 1497956015
- Colorado River Family Healthcare, PCPrimary Care Clinic/Center Parker, AZ NPI 1073680468
- Tequa Med-Peds LLCInternal Medicine Physician Parker, AZ NPI 1497021679
- Western Urological Associates, PCSpecialist Parker, AZ NPI 1699957332
- Patricia L. Stanton, NPFamily Nurse Practitioner Parker, AZ NPI 1679575781
About NPI 1487692125
Robert S. Nickolisen, MD's National Provider Identifier is 1487692125, issued on Jun 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Parker, AZ. The record was last updated on Oct 27, 2010.