Healthcare Provider Details

I. General information

NPI: 1528655438
Provider Name (Legal Business Name): JAMES ANDREWS MSN-FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2020
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3914 3RD AVE STE 1
SAN DIEGO CA
92103-3003
US

IV. Provider business mailing address

3825 CENTRE ST UNIT 2539143
SAN DIEGO CA
92103-3644
US

V. Phone/Fax

Practice location:
  • Phone: 619-203-4209
  • Fax:
Mailing address:
  • Phone: 619-203-4209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number752715
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95016714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: