Individual
DR. BRANDON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DO3797
NV
390200000X
Student in an Organized Health Care Education/Training Program
SL1893
NV
Other
Enumeration date
06/28/2022
Last updated
10/15/2025
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