Individual
AMY LYNN NIKOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3639
WI
363AS0400X
Surgical Physician Assistant
3639-23
WI
Other
Enumeration date
08/14/2015
Last updated
11/09/2020
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