person
Mr. Andra L Nicholson SR.
Driver in Milwaukee, Wisconsin
NPI 1093479701

Andra L Nicholson SR. is a Driver based in Milwaukee, WI. Andra L Nicholson SR. practices in Milwaukee, WI. The NPI Number for Andra L Nicholson SR. is 1093479701 and holds a License No. N242-0126-3466-07 (Wisconsin).

The current practice location address for Andra L Nicholson SR. is 1724 W Clarke St, Milwaukee, WI and can be reached out via phone at 414-763-9892 and via fax at 414-763-0531.

Location: 1724 W Clarke St, Milwaukee, WI, 53206-2030
person
Provider Profile Details
NPI Number
1093479701
Provider Name
Andra L Nicholson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1724 W Clarke St, Milwaukee, WI, 53206-2030
Phone Number
414-763-9892
Fax Number
414-763-0531
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1724 W Clarke St
City
State
Zip
53206-2030
Phone Number
414-763-9892
Fax Number
414-763-0531
person
Provider Business Mailing Address Details
Address
1724 W Clarke St
City
State
Zip
53206-2030
Phone Number
414-763-9892
Fax Number
414-763-0531
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
N242-0126-3466-07 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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