MEDICARE: CORTNEY RENEE ANDREWS RN

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	163WE0003X	Emergency Registered Nurse	R089058	AR
2	363LF0000X	Family Nurse Practitioner	234874	AR

General Provider Information

NPI Number	:	1689563249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORTNEY RENEE ANDREWS RN

Provider Business Mailing Address
First Line	:	2725 AR-25 BYPASS
Second Line	:
City	:	HEBER SPRINGS
State	:	AR
Zip	:	72543-0315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 AR-25 BYPASS
Second Line	:
City	:	HEBER SPRINGS
State	:	AR
Zip	:	72543
Country	:	US
Telephone Number	:	501-362-5800
Fax Number	:

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

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	04/06/2026

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