Nicholas Murkklaas Voolstra
Day Training/Habilitation Specialist in Fresno, CA. Individual provider (NPI-1).
NPI number1093677445
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1093677445
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas Murkklaas Voolstra
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2025
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
4468 E Kings Canyon RdFresno, CA 93702-3605
Phone 559-600-9180
Mailing address
12271 Charlton RdMadera, CA 93636-8552
Phone 559-718-5994
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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