Individual
ANDREA C. NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-6125
Mailing address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(775) 327-5174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2025-0015
NM
Other
Enumeration date
03/29/2022
Last updated
10/13/2025
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