Individual
MR. ROBERT NIKOLAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 JARRETT WHITE RD RM 2A701, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3445
(808) 433-6539
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-9333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-485
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8447930
—
WA
Enumeration date
11/07/2006
Last updated
06/04/2024
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