Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANDRA BRUCE NICHOLS, MD
Active Sole ProprietorDR. SANDRA BRUCE NICHOLS, MD is a Health Maintenance Organization healthcare provider located in RESTON, Virginia. NPI 1780967232 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · RESTON, VA
Registration Details
- NPI Number
- 1780967232
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2011 (14.851511784309 yrs)
- Last Updated
- Sep 21, 2011
- Licenses
-
D60180 (MD)D60180 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12018 SUNRISE VALLEY DRSUITE 400RESTON, VA, 201913432Browse VA providers · Browse ZIP 20191
- Phone
- 3014486550
- Primary Specialty
-
Health Maintenance Organization
302R00000X
- Additional Specialty
- Health Maintenance Organization
Other Health Maintenance Organization Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN MOVAHEDI | PHARM.D. | 1467595678 |
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.