Mr. Andra L Nicholson Sr.
Mr. Andra L Nicholson Sr. is a Driver provider (Driver) practicing in Milwaukee, WI, registered in the NPPES registry with NPI 1093479701 since 2021.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093479701 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Andra L Nicholson Sr. |
| Sex | Male |
| Practice address | 1724 W CLARKE ST, Milwaukee, WI, 53206 |
| Phone | 4147639892 |
| Fax | 4147630531 |
| Enumeration date | 2021-10-28 |
| Last updated in NPPES | 2023-12-05 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 172A00000X | Driver | Primary | N242-0126-3466-07 | WI |
Copy-ready billing details
Provider: Andra Nicholson NPI: 1093479701 Taxonomy: 172A00000X (Driver) Address: 1724 W CLARKE ST, Milwaukee, WI, 53206
Verify this record
Cross-check NPI 1093479701 against the authoritative CMS record: view Mr. Andra L Nicholson Sr. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-05.