Individual provider · Type 1 NPI

Delia Ruth Nickolaus, CPNP

Pediatric Nurse Practitioner · Seattle, WA

NPI number 1912943200 Active

Practice location

4800 Sand Point Way NE, Department Of Neurology, Ms B-5552
Seattle, WA 98105-3901

Call (206) 987-4454 Map

Mailing address

2311 N 45th St, #101
Seattle, WA 98103-6905

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	AP30007689 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1912943200

Delia Ruth Nickolaus, CPNP's National Provider Identifier is 1912943200, issued on Jun 22, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.