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Individual

ANDREW DAVID NICHOLSON

Active
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Individual

ANDREW DAVID NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101261859
VA
207T00000X
Neurological Surgery Physician
59886
TN
2085R0202X
Diagnostic Radiology Physician
0101261859
VA
2085R0202X
Diagnostic Radiology Physician
Primary
59886
TN
2085R0202X
Diagnostic Radiology Physician
CDR.0001425
CO
2085R0204X
Vascular & Interventional Radiology Physician
ME172614
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128439400
FL
05
9000188520
CO
01
V8349
HFMG
FL
Enumeration date
05/18/2009
Last updated
11/12/2025
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