Individual
ANDREA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCHN, NTM, RWP-3
Contact information
Practice address
3250 N PINE VIEW DR, PRESCOTT VALLEY, AZ 86314-2421
(303) 815-8108
Mailing address
3250 N PINE VIEW DR, PRESCOTT VALLEY, AZ 86314-2421
(303) 815-8108
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
09/04/2024
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