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Andra Nicholson — NPI 1093479701, Milwaukee, WI | NPI Central

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NPI 1093479701

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Andra Nicholson

NPI 1093479701 · Driver · Milwaukee, WI

Provider details

NPI number: 1093479701
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No
License: N242-0126-3466-07 (WI)

Practice location

1724 W Clarke St

Milwaukee, WI 53206-2030

Phone: (414) 763-9892

Fax: (414) 763-0531

More WI providers

Mailing address

1724 W Clarke St

Milwaukee, WI 53206-2030

Registry dates

Enumerated: 2021-10-28
Last updated: 2023-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.