Provider Demographics
NPI:1033397922
Name:ANDRUCHOW, MARGARET Q (MS, APRN-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:Q
Last Name:ANDRUCHOW
Suffix:
Gender:F
Credentials:MS, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LANCER LN
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-5523
Mailing Address - Country:US
Mailing Address - Phone:401-486-6575
Mailing Address - Fax:401-828-1817
Practice Address - Street 1:3 LANCER LN
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-5523
Practice Address - Country:US
Practice Address - Phone:401-885-1681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPPNS00086101YM0800X
RIAPRN00361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health