Provider Demographics
NPI:1366038069
Name:ANDREWS, DANNY DEWAYNE
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:DEWAYNE
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4751 BLOOMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3342
Mailing Address - Country:US
Mailing Address - Phone:901-502-3095
Mailing Address - Fax:
Practice Address - Street 1:4751 BLOOMFIELD DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3342
Practice Address - Country:US
Practice Address - Phone:901-502-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care