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NPI Code Detail

MEDICARE: ANDREA HICKS PRITCHETT

MEDICARE:   ANDREA  HICKS PRITCHETT
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
1171W00000XContractor
2174H00000XHealth Educator
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740172063
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HICKS PRITCHETT
Provider Business Mailing Address
First Line : 2705 HAMPSHIRE RD APT 302
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2583
Country : US
Telephone Number : 216-618-7043
Fax Number :
Provider Business Practice Location Address
First Line : 2705 HAMPSHIRE RD APT 302
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2583
Country : US
Telephone Number : 216-618-7043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

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Directions to “ ANDREA HICKS PRITCHETT ” Practice Location

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