Healthcare Provider Details

I. General information

NPI: 1629039490
Provider Name (Legal Business Name): MARY FRANCES ANDREWS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MARY FRANCES TRICKETT

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E NEW YORK AVE SHORE MEMORIAL HOSPITAL
SOMERS POINT NJ
08244
US

IV. Provider business mailing address

PO BOX 34693 BAYFRONT EMERGENCY PHYSICIANS PA
NEWARK NJ
07189-4963
US

V. Phone/Fax

Practice location:
  • Phone: 856-653-3159
  • Fax: 610-617-6280
Mailing address:
  • Phone: 610-668-6491
  • Fax: 610-617-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00052400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: