Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093479701 Individual Practitioner Male Practitioner

Andra L Nicholson

Driver • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Andra Nicholson is a registered healthcare professional specializing in Driver in Milwaukee, WI. Practice services are available at 1724 W CLARKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1724 W Clarke St

Milwaukee, WI 532062030

Telephone 4147639892
Fax 4147630531

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
164 Specialists

Practicing in Milwaukee, WI (262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-05
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License WI N242-0126-3466-07

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

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2021

Registered at 1724 W CLARKE ST, MILWAUKEE, WI 532062030 (Tel: 4147639892)

📍
Updated Business Mailing Address November 01, 2021

Registered at 1724 W CLARKE ST, MILWAUKEE, WI 532062030 (Tel: 4147639892)

👤
Provider Name / Credentials Updated November 01, 2021

Recorded as ANDRA NICHOLSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2021

Driver (License #N242-0126-3466-07 in WI)

🟢
Initial NPI Registration & Enumeration October 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093479701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2021
Last Update: December 05, 2023
Sole Proprietor: No

Mailing Address

1724 W Clarke St

Milwaukee, WI 532062030

Phone: 4147639892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.