MEDICARE: CARRIE ANDREAS PA

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	363AM0700X	Medical Physician Assistant	MA002901L	PA

General Provider Information

NPI Number	:	1447274618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE ANDREAS PA

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-647-3087
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 CENTRE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1309
Country	:	US
Telephone Number	:	412-692-4724
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	09/14/2010

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Directions to “ CARRIE ANDREAS PA” Practice Location

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