MEDICARE: ANDREA MYERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN610298	PA

General Provider Information

NPI Number	:	1174853592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MYERS

Provider Business Mailing Address
First Line	:	421 W SCHOOL HOUSE LN UNIT 12
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 GRANT ST STE 2900
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	267-528-9181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	09/02/2021

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Directions to “ ANDREA MYERS ” Practice Location

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