Provider Demographics
NPI:1194009332
Name:ANDREWS, SUSAN ANN (RN, NP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ANN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LEO MOSS DR
Mailing Address - Street 2:CATTARAUGUS COUNTY HEALTH DEPARTMENT
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1100
Mailing Address - Country:US
Mailing Address - Phone:716-701-3438
Mailing Address - Fax:716-701-3744
Practice Address - Street 1:1 LEO MOSS DR
Practice Address - Street 2:CATTARAUGUS COUNTY HEALTH DEPARTMENT
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1100
Practice Address - Country:US
Practice Address - Phone:716-701-3438
Practice Address - Fax:716-701-3744
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308713163WA2000X
NY333626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily