Provider Demographics
NPI:1083067631
Name:ANDREWS, KINDAL LEE (APRN)
Entity Type:Individual
Prefix:
First Name:KINDAL
Middle Name:LEE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KINDAL
Other - Middle Name:LEE
Other - Last Name:HARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:925 IRONWOOD DR
Mailing Address - Street 2:SUITE 2102
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-5178
Mailing Address - Country:US
Mailing Address - Phone:775-445-7745
Mailing Address - Fax:775-782-0073
Practice Address - Street 1:925 IRONWOOD DR
Practice Address - Street 2:SUITE 2102
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-5178
Practice Address - Country:US
Practice Address - Phone:775-445-7745
Practice Address - Fax:775-782-0073
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN0002235363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner