National Provider Identifier Database

ANDRA L NICHOLSON SR
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

ANDRA L NICHOLSON SR
1724 W CLARKE ST
MILWAUKEE, WI53206-2030
Phone: 414-763-9892
Fax: 414-763-0531
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for ANDRA L NICHOLSON SR

NPI Number 1093479701
Credentials
Entity Individual
Enumeration date 10/28/2021
Last updated 12/05/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • WI License #: N242-0126-3466-07
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ANDRA L NICHOLSON SR

There are currently no reviews for ANDRA L NICHOLSON SR


NPIdb - Home
v2.201