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NPI Code Detail

MEDICARE: MISS ISABELLA ROSE ANDREWS

MEDICARE: MISS ISABELLA ROSE ANDREWS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962335612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ISABELLA ROSE ANDREWS
Provider Business Mailing Address
First Line : 240 SOUTH 40TH STREET
Second Line : OFFICE OF CLINICAL AFFAIRS-S6A EVANS
City : PHILADELPHA
State : PA
Zip : 19104
Country : US
Telephone Number : 215-573-2588
Fax Number :
Provider Business Practice Location Address
First Line : 240 S 40TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-6030
Country : US
Telephone Number : 215-898-8965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MISS ISABELLA ROSE ANDREWS ” Practice Location

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