John Eliot Nicolaisen, PA is a medical physician assistant in Apple Valley, CA. John Eliot Nicolaisen, PA NPI is 1548666738. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
18523 CORWIN RD STE G
APPLE VALLEY, CA
ZIP 92307-300
Phone: (760) 242-3376
The NPI 1548666738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/14/2014 and was last updated on 9/11/2017.