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NPI Code Detail

MEDICARE: NICOLAI WARD

MEDICARE: NICOLAI WARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538015409
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAI WARD
Provider Business Mailing Address
First Line : 5861 TOSCANA DR APT 1437
Second Line :
City : DAVIE
State : FL
Zip : 33314-3576
Country : US
Telephone Number : 239-319-7177
Fax Number :
Provider Business Practice Location Address
First Line : 3925 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2662
Country : US
Telephone Number : 202-396-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ NICOLAI WARD ” Practice Location

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