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NPI Code Detail

MEDICARE: MS. MARCIA C. ANDREWS CRNA

MEDICARE: MS. MARCIA C. ANDREWS 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 AnesthetistRN244623LPA

General Provider Information

NPI Number : 1467445700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCIA C. ANDREWS CRNA
Provider Business Mailing Address
First Line : 631 N BROAD STREET EXT
Second Line :
City : GROVE CITY
State : PA
Zip : 16127-4603
Country : US
Telephone Number : 724-450-7182
Fax Number : 724-450-7179
Provider Business Practice Location Address
First Line : 631 N BROAD STREET EXT
Second Line :
City : GROVE CITY
State : PA
Zip : 16127-4603
Country : US
Telephone Number : 724-450-7182
Fax Number : 724-450-7179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 09/30/2020

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