MR. ANDRA L NICHOLSON SR.
NPI 1093479701
Driver in Milwaukee, WI

Q: What is Andra Nicholson's NPI number?

The NPI number for Andra Nicholson is 1093479701. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Q: What is Andra Nicholson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andra Nicholson was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2021

1724 W CLARKE ST, MILWAUKEE, WI 53206(414) 763-9892(414) 763-0531 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Mar 25, 2023, Nov 12, 2021 and 1 more (4 updates tracked since 2021).

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About Mr. Andra L Nicholson Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDRA L NICHOLSON SR. (NPI 1093479701) is an individual driver provider in Milwaukee, Wisconsin, licensed in Wisconsin (N242-0126-3466-07) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1093479701

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameMR. ANDRA L NICHOLSON SR.

Location Address1724 W CLARKE STMilwaukee, WI 53206-2030

Mailing Address1724 W Clarke StMilwaukee, WI 53206-2030 · (414) 763-9892 · Fax (414) 763-0531

Phone(414) 763-9892

Fax(414) 763-0531

Sole ProprietorNo

Enumeration DateOctober 28, 2021

Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1093479701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in WI · N242-0126-3466-07

Definition

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

1724 W CLARKE ST, Milwaukee, WI 53206

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andra Nicholson's NPI number?

The NPI number for Andra Nicholson is 1093479701. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Andra Nicholson located?

Andra Nicholson practices at 1724 W Clarke St, Milwaukee, WI 53206. The listed phone number is (414) 763-9892.

What is Andra Nicholson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Andra Nicholson was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.