DR. Sandra Bruce Nichols, MD

NPI #1780967232 in Reston, Virginia

Provider Information

NPI Number
1780967232
Entity Type
Individual
Name
DR. Sandra Bruce Nichols, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Credential
MD
Enumeration Date
Sep 21, 2011
Last Updated
Sep 21, 2011

Practice Location

Address
12018 SUNRISE VALLEY DR
Address 2
SUITE 400
City
Reston
ZIP Code
20191-3432
Phone
(301) 448-6550

Specialties & Taxonomy Codes

Specialty
Family Medicine
Health Maintenance Organization

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