Provider Demographics
NPI:1063858728
Name:ANDREWS, NADINE (MHPP)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:NADINE
Other - Middle Name:
Other - Last Name:ALLMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-2836
Mailing Address - Country:US
Mailing Address - Phone:870-382-1680
Mailing Address - Fax:870-382-1681
Practice Address - Street 1:105 CARLTON DR
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2836
Practice Address - Country:US
Practice Address - Phone:870-382-1680
Practice Address - Fax:870-382-1681
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator