Individual
ANDREA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5615 DEAUVILLE STE 220, MIDLAND, TX 79706-2707
(432) 686-0321
(432) 689-0718
Mailing address
2805 ANDOVER AVE, MIDLAND, TX 79705-3201
(307) 760-9734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
020102106
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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