Provider Demographics
NPI:1326530346
Name:ANDREW, RHEA LYNA
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:LYNA
Last Name:ANDREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0713 SALMON STREET
Mailing Address - Street 2:
Mailing Address - City:LEVELOCK
Mailing Address - State:AK
Mailing Address - Zip Code:99625
Mailing Address - Country:US
Mailing Address - Phone:907-287-6182
Mailing Address - Fax:
Practice Address - Street 1:49 SALMON STREET
Practice Address - Street 2:
Practice Address - City:LEVELOCK
Practice Address - State:AK
Practice Address - Zip Code:99625
Practice Address - Country:US
Practice Address - Phone:907-287-3011
Practice Address - Fax:907-287-3035
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker