MEDICARE: ANDREW NICHOLSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1962054940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW NICHOLSON

Provider Business Mailing Address
First Line	:	2842 E LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6548
Country	:	US
Telephone Number	:	702-749-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2842 E LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6548
Country	:	US
Telephone Number	:	702-749-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2019
Last Update Date	:	07/10/2019

Similar Medicare Providers

1639280118 — HEALTH CARE CENTER OF SOUTHERN NEVADA
Practice Location Address:

2842 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-314-2400
Practice Fax: 702-314-2405

1699865097 — DR. DAISY DE GUIA DE GUZMAN M.D.
Practice Location Address:

2828 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-551-2222
Practice Fax: 702-448-4755

1598130726 — RAUDEL ALVAREZ APRN
Practice Location Address:

2842 E LAKE MEAD BLVD STE A
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-790-1014
Practice Fax:

1366000713 — MR. SHAWN JOSHUA RICHARDSON
Practice Location Address:

2842 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-749-8500
Practice Fax: 702-748-8509

1386285773 — CRYSTAL MARIE MYLES
Practice Location Address:

2842 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-749-8500
Practice Fax:

1093317356 — TYRONE ROBINSON FNP-BC
Practice Location Address:

2842 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-6548

Practice Phone: 702-994-7267
Practice Fax:

Directions to “ ANDREW NICHOLSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.