Provider Demographics
NPI:1275764516
Name:BARTHOLOMEW, ANDREA SUE (MAED)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:SUE
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:MAED
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:SUE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 HIDDEN HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1024
Mailing Address - Country:US
Mailing Address - Phone:859-853-2720
Mailing Address - Fax:
Practice Address - Street 1:512 HIDDEN HILLS WAY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1024
Practice Address - Country:US
Practice Address - Phone:859-853-2720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist