Healthcare Provider Details

I. General information

NPI: 1326958059
Provider Name (Legal Business Name): MEGHAN ANDREWS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 190281
BOISE ID
83719-0281
US

IV. Provider business mailing address

PO BOX 190281
BOISE ID
83719-0281
US

V. Phone/Fax

Practice location:
  • Phone: 605-740-0444
  • Fax:
Mailing address:
  • Phone: 605-740-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number36593
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: