Brandon L Nichols, RD, CSSD is a
Dietitian, Registered based in Hereford, Arizona. Brandon L Nichols is licensed to practice in * (Not Available) (license number ) and his current practice location is
9005 S Bryerly Ct, Hereford, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 249-1599.
NPI number for Brandon L Nichols is 1093160970 and his current mailing address is 9005 S Bryerly Ct, Hereford, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093160970.
Healthcare Provider's Profile
Full Name | Brandon L Nichols |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 9005 S Bryerly Ct, Hereford, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093160970
- Provider Enumeration Date: 04/28/2016
- Last Update Date: 04/28/2016
Medical Identifiers
Medical identifiers for Brandon L Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093160970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon L Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brandon L Nichols, RD, CSSD 9005 S Bryerly Ct, Hereford, AZ 85615-8419 Ph: (520) 249-1599 | Brandon L Nichols, RD, CSSD 9005 S Bryerly Ct, Hereford, AZ 85615-8419 Ph: (520) 249-1599 |
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