Nichols, Sandra Bruce

Nichols, Sandra Bruce is an sole proprietor health care provider with primary practice located at 12018 Sunrise Valley Dr Suite 400, Reston VA 20191-3432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is her primary health care specialty. Nichols, Sandra Bruce can be contacted via phone (301) 448-6550.

Contact Information

Primary practice address
12018 Sunrise Valley Dr Suite 400 Reston VA 20191-3432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D60180 Maryland
Managed Care Organizations / Health Maintenance Organization 302R00000X D60180 Maryland

Profile Details

NPI number 1780967232
LBN Legal business name Nichols, Sandra Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2011
Last updated Sep 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers