Individual
ANDREA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
209 82ND STREET, HOLMES BEACH, FL 34217
(941) 545-1296
(941) 761-6580
Mailing address
PO BOX 14669, BRADENTON, FL 34280-4669
(941) 999-2560
(941) 209-5653
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 2854132
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 2854132
FL
Other
Enumeration date
06/23/2016
Last updated
07/21/2022
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