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NPI Code Detail

MEDICARE: MS. KATHLEEN ANDREWS NP

MEDICARE: MS. KATHLEEN ANDREWS NP
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
1363LA2200XAdult Health Nurse Practitioner307821NY
2363LA2200XAdult Health Nurse Practitioner5016415NC

General Provider Information

NPI Number : 1558714311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN ANDREWS NP
Provider Business Mailing Address
First Line : PO BOX 746724
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6724
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 4600 CAPITAL BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27604-4478
Country : US
Telephone Number : 919-980-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 08/17/2022

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