IndividualActive
Sandra Nichols, MD
NPI 1780967232 · Health Maintenance Organization · Reston, VA
Provider details
- NPI number
- 1780967232
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D60180 (MD)
Practice location
12018 Sunrise Valley Dr
Suite 400
Reston, VA 20191-3432
Phone: (301) 448-6550
Mailing address
12706 Young Ln
North Potomac, MD 20878-6112
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2011-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.