IndividualActive
Jeremy Nicolarsen, MD
NPI 1891946778 · Pediatric Cardiology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1891946778
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M13579 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2008-10-09
- Last updated
- 2020-10-02
- Certified
- 2020-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.