NPI

Sandra Eileen Nichols

NPI 1629252739

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MSW
Type
Individual
Enumeration date
2007-12-26
Last updated
2009-06-15

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Specialties

Licenses

License IL
149004883
License IA
05255

Location

Practice location
106 19th Ave, Suite 101
City
Moline IL
Postal code
61265-3700
Phone
(309) 779-7600

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Moline, IL. 1,347 records in the public file.

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