MEDICARE: ANDREW CHRISTIE

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	363LF0000X	Family Nurse Practitioner	882725	NV

General Provider Information

NPI Number	:	1457186496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW CHRISTIE

Provider Business Mailing Address
First Line	:	10663 ENTRANCE ARCH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-1813
Country	:	US
Telephone Number	:	702-302-6481
Fax Number	:	702-323-8553

Provider Business Practice Location Address
First Line	:	10663 ENTRANCE ARCH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-1813
Country	:	US
Telephone Number	:	702-302-6481
Fax Number	:

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

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	04/14/2025

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Directions to “ ANDREW CHRISTIE ” Practice Location

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