Individual
KIMBERLY NICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4041 SOUTH MCCLINTOCK, SUITE 302, TEMPE, AZ 85282
(808) 474-0625
Mailing address
4041 SOUTH MCCLINTOCK, SUITE 302, TEMPE, AZ 85282
(808) 474-0625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-62270
HI
Other
Enumeration date
05/11/2017
Last updated
01/24/2019
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