MEDICARE: ANDRE LEW DAY COLLADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	R232554	MD

General Provider Information

NPI Number	:	1467307942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRE LEW DAY COLLADO

Provider Business Mailing Address
First Line	:	6424 ELRAY DR APT A
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2946
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E UNIVERSITY PKWY
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-2829
Country	:	US
Telephone Number	:	410-554-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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