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NPI Code Detail

MEDICARE: ANDREA D NIEHOFF CMA

MEDICARE:   ANDREA D NIEHOFF  CMA
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
1246Z00000XOther Specialist/TechnologistQ7P4N9Q2WA

General Provider Information

NPI Number : 1881363265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA D NIEHOFF CMA
Provider Business Mailing Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-503-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2021
Last Update Date : 09/09/2021

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Directions to “ ANDREA D NIEHOFF CMA” Practice Location

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