Nurse Practitioner, Family
IBID NICOLAISEN NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780036517 · enumerated 2016-07-05 · record updated 2021-02-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI, 96740-1753 (808) 326-5629 Google Maps Apple Maps OpenStreetMap
- Practice location 81-980 HALEKII ST STE 107, KEALAKEKUA, HI, 96750-8177 (808) 324-0703 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · License A117690 IA
- Nurse Practitioner, Family 363LF0000X · Primary · License APRN-2139 HI
In this directory
Locations and evidence
-
Practice location
KEALAKEKUA, HI, 967508177
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.