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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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ANDRADE, NICHOLAS EVERNDEN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NICHOLAS ANDRADE RD
216 WILDERNESS DR
NORMAN OK 73071

Address last updated on 9/3/2024
Phone #: (510) 378-2658
Fax #:
County: CLEVELAND
License: 2844
Dated: 9/12/2023
Expires: 10/31/2025
Temp. Ltr. Issued: 5/25/2023
Temp. Ltr. Expires: 11/16/2023
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
NICHOLAS ANDRADE RD
216 WILDERNESS DR
NORMAN OK 73071

Phone #: (510) 378-2658
Fax #:

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