Provider Demographics
NPI:1992245831
Name:OLLIKAINEN, NINA
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:OLLIKAINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:OLLIKAINEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:544 ALGER DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3603
Mailing Address - Country:US
Mailing Address - Phone:650-380-2308
Mailing Address - Fax:
Practice Address - Street 1:544 ALGER DR
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3603
Practice Address - Country:US
Practice Address - Phone:650-380-2308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-25
Last Update Date:2017-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG41319174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator