Healthcare Provider Details

I. General information

NPI: 1386654192
Provider Name (Legal Business Name): ANDREA C. SCHERSCHEL N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA C. SMITH

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 PARK AVE
NEW YORK NY
10154-0004
US

IV. Provider business mailing address

11996 DAPPLE WAY
SAN DIEGO CA
92128-5245
US

V. Phone/Fax

Practice location:
  • Phone: 800-367-5690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number679726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: