Individual provider · Type 1 NPI

Nicole Martinez de Andino, NP

Nurse Practitioner · Charleston, SC

NPI number 1790112464 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X18538 (SC)
Nurse Practitioner Primary 363L00000XRN202000 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790112464

Nicole Martinez de Andino, NP's National Provider Identifier is 1790112464, issued on Sep 26, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Aug 20, 2026.