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ROBERT S NICKOLISEN MD
NPI 1487692125
Specialist in Parker, AZ

Active since June 03, 2006
601 W RIVERSIDE DR, SUITES 3 AND 4, PARKER, AZ 85344(602) 377-5900 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert S Nickolisen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT S NICKOLISEN MD (NPI 1487692125) is an individual specialist in Parker, Arizona, licensed in Arizona (15301) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1487692125
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT S NICKOLISENCredential: MD
Location Address601 W RIVERSIDE DR, SUITES 3 AND 4Parker, AZ 85344-5119
Mailing Address2485 Stroke DrLake Havasu City, AZ 86406-7622 · (602) 377-5900
Phone(602) 377-5900
Sole ProprietorYes
Enumeration DateJune 3, 2006
Last NPPES UpdateOctober 27, 2010
✔ NPI 1487692125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 15301
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
601 W RIVERSIDE DR, Parker, AZ 85344
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Other Identifiers 4

Medicare PINZWMBDTO1AZ
Medicaid250316AZ
Medicare UPINA02398AZ
Medicare PIN340012840AZ

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLORADO RIVER FAMILY HEALTHCARE, PC
Clinic/Center (Primary Care)
601 W RIVERSIDE DR, STE. 3 & 4
PARKER, AZ 85344
LA Paz County (928) 669-6700
TEQUA MED-PEDS LLC
Internal Medicine
601 W RIVERSIDE DR
PARKER, AZ 85344
LA Paz County (928) 669-5550
ARIZONA HEART INSTITUTE PARKER
Internal Medicine (Cardiovascular Disease)
601 W RIVERSIDE DR, SUITE 12
PARKER, AZ 85344
LA Paz County (928) 669-1008
PATRICIA L STANTON NP
Nurse Practitioner (Family)
601 W RIVERSIDE DR, SUITE 3
PARKER, AZ 85344
LA Paz County (928) 669-5550
WESTERN UROLOGICAL ASSOCIATES, PC
Specialist
601 W RIVERSIDE DR, SUITES 3 AND 4
PARKER, AZ 85344
LA Paz County (602) 377-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Nickolisen's NPI number?

The NPI number for Robert Nickolisen is 1487692125. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Robert Nickolisen located?

Robert Nickolisen practices at 601 W Riverside Dr Suites 3 And 4, Parker, AZ 85344. The listed phone number is (602) 377-5900.

What is Robert Nickolisen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Nickolisen was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.