# NOLAN NATHANIEL ANDRES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871120360
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 82016-21 | WI | — |
| 207Q00000X | Family Medicine Physician | 82016-21 | WI | Yes |
| 208D00000X | General Practice Physician | 82016-21 | WI | Yes |

## Other

- **Enumeration date:** 03/24/2020
- **Last updated:** 01/12/2026