Individual provider · Type 1 NPI
Michael A. Nicolas, NP
Psychiatric/Mental Health Nurse Practitioner · Fullerton, CA
NPI number
1497284202
Active
Practice location
2501 E Chapman Ave Ste 107C
Fullerton, CA 92831-3132
Fax (562) 317-1073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95017723 (CA) |
| Registered Nurse | 163W00000X | 95079457 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497284202
Michael A. Nicolas, NP's National Provider Identifier is 1497284202, issued on Jun 6, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fullerton, CA. The record was last updated on Apr 18, 2026.