Provider Demographics
NPI:1134639909
Name:ANDREWS, SHYMA A (APRN)
Entity Type:Individual
Prefix:
First Name:SHYMA
Middle Name:A
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4270 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-2306
Mailing Address - Country:US
Mailing Address - Phone:203-491-8908
Mailing Address - Fax:352-480-1164
Practice Address - Street 1:4270 MAIN ST STE 280
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-2306
Practice Address - Country:US
Practice Address - Phone:203-491-8908
Practice Address - Fax:352-480-1164
Is Sole Proprietor?:No
Enumeration Date:2017-10-06
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily