Healthcare Provider Details

I. General information

NPI: 1669321840
Provider Name (Legal Business Name): ANDREA TROWBRIDGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 MATTHEW CT
HAGERSTOWN MD
21742-3156
US

IV. Provider business mailing address

1034 MATTHEW CT
HAGERSTOWN MD
21742-3156
US

V. Phone/Fax

Practice location:
  • Phone: 301-793-0025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036917
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR263091
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: