Provider Demographics
NPI:1033993076
Name:ALBERTS, ANDREW (RN)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:ALBERTS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 E JACOB ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-8154
Mailing Address - Country:US
Mailing Address - Phone:815-953-1040
Mailing Address - Fax:
Practice Address - Street 1:927 E JACOB ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-8154
Practice Address - Country:US
Practice Address - Phone:815-953-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN181088163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine