Individual
ANDREW NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 653-9500
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 653-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1753
NH
363A00000X
Physician Assistant
PA11564
TX
Other
Enumeration date
11/02/2017
Last updated
07/14/2021
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