Individual
DR. MARIIA NIKOLAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 ROGERS AVE STE 401A, FORT SMITH, AR 72903-4034
(479) 314-4650
(479) 452-9459
Mailing address
7001 ROGERS AVE STE 401A, FORT SMITH, AR 72903-4034
(479) 314-4650
(479) 452-9459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280821
MA
207R00000X
Internal Medicine Physician
E-18517
AR
207RC0000X
Cardiovascular Disease Physician
Primary
E-18517
AR
Other
Enumeration date
08/02/2019
Last updated
08/06/2025
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