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NPI Code Detail

MEDICARE: JOSEPH AURELIO ANDRADE CRNA

MEDICARE: JOSEPH AURELIO ANDRADE CRNA
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
1367500000XCertified Registered Nurse Anesthetist0024167977VA
2367500000XCertified Registered Nurse AnesthetistNA3928CA

General Provider Information

NPI Number : 1184763278
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH AURELIO ANDRADE CRNA
Provider Business Mailing Address
First Line : PO BOX 7096
Second Line :
City : STOCKTON
State : CA
Zip : 95267-0096
Country : US
Telephone Number : 209-956-7725
Fax Number : 209-956-7733
Provider Business Practice Location Address
First Line : 2 BERNARDINE DR
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-4404
Country : US
Telephone Number : 757-886-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 03/20/2026

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