Provider Demographics
NPI:1053822031
Name:BUERY, ANDREA LAUREN (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LAUREN
Last Name:BUERY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LAUREN
Other - Last Name:BUERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:218 BEAR TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9337
Mailing Address - Country:US
Mailing Address - Phone:620-506-7722
Mailing Address - Fax:
Practice Address - Street 1:218 BEAR TRL
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-9337
Practice Address - Country:US
Practice Address - Phone:620-506-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55055363AM0700X
NC363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical