Healthcare Provider Details

I. General information

NPI: 1730297201
Provider Name (Legal Business Name): NANCY ANDREWS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 BROADMOOR BLVD STE B
MONROE LA
71201-3184
US

IV. Provider business mailing address

702 14TH AVE NW
HICKORY NC
28601-2320
US

V. Phone/Fax

Practice location:
  • Phone: 878-381-3823
  • Fax:
Mailing address:
  • Phone: 828-465-0811
  • Fax: 828-465-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number200955
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number200955
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: