Individual
MS. ANDRIA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 PROVIDENCE LN, WINSTON SALEM, NC 27106-3226
(216) 331-5869
Mailing address
1105 ARGONNE RD, CLEVELAND HTS, OH 44121-2914
(216) 352-7454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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