Provider Demographics
NPI:1225319072
Name:DRYDEN, ANDREA N (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:N
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 E FRANK PHILLIPS BLVD
Mailing Address - Street 2:BLDG A
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2406
Mailing Address - Country:US
Mailing Address - Phone:918-322-3600
Mailing Address - Fax:
Practice Address - Street 1:3400 FRANK PHILLIPS
Practice Address - Street 2:STE 502
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006
Practice Address - Country:US
Practice Address - Phone:918-331-2577
Practice Address - Fax:918-331-2513
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK81636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily