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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW NICKERSON, PA

Active

ANDREW NICKERSON, PA is a Physician Assistant healthcare provider located in LEBANON, New Hampshire. NPI 1730691429 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LEBANON, NH

Registration Details

NPI Number
1730691429
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2017 (8.7704079760951 yrs)
Last Updated
Jul 14, 2021
Licenses
PA11564 (TX)
1753 (NH)

Practice Information

Address
ONE MEDICAL CENTER DR
LEBANON, NH, 037560001
Browse NH providers · Browse ZIP 03756
Phone
6036539500
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LEBANON, NH

Name Credential NPI
OSCAR KEITH GIBBS PA-C 1992799951
KATHARINE RILEY PA 1740277276
MRS. ANGELA JEAN WELCH PA-C 1679564801
MR. REYNALDO DANTES DIZON PA 1538146766
REBECCA A. VAN DOLAH MPAS 1700842721
MR. T. LINDSAY D'ANNA PA 1912952516
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.