Individual provider · Type 1 NPI

Timothy Robert Nickolaus, PA

Medical Physician Assistant · Richland, WA

NPI number 1518250554 Active

Practice location

875 Swift Blvd
Richland, WA 99352-3592

Call (509) 946-1654 Map

Fax (509) 943-5652

Mailing address

560 Gage Blvd, Suite 203
Richland, WA 99352

Other practice locations

  • 1351 Fowler St, Richland, WA 99352-4714 · (509) 946-1654

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60217353 (WA)

Medical Physician Assistant: Definition to come...

26 other providers at this address

Other medical physician assistant providers in Richland

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About NPI 1518250554

Timothy Robert Nickolaus, PA's National Provider Identifier is 1518250554, issued on May 24, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richland, WA. The record was last updated on Jun 22, 2021.