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NPI Code Detail

MEDICARE: COURTNI ANDRUS N.P.

MEDICARE: COURTNI ANDRUS N.P.
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
1363L00000XNurse Practitioner729078TX

General Provider Information

NPI Number : 1982903894
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNI ANDRUS N.P.
Provider Business Mailing Address
First Line : 2701 S GEORGIA ST
Second Line :
City : AMARILLO
State : TX
Zip : 79109-1979
Country : US
Telephone Number : 806-350-8969
Fax Number : 806-355-2453
Provider Business Practice Location Address
First Line : 2701 S GEORGIA ST
Second Line :
City : AMARILLO
State : TX
Zip : 79109-1979
Country : US
Telephone Number : 806-350-8969
Fax Number : 806-355-2453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2011
Last Update Date : 12/31/2015

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Directions to “ COURTNI ANDRUS N.P.” Practice Location

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