Provider Demographics
NPI:1417418666
Name:CAYGILL, ANDREA J (CSFA)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:J
Last Name:CAYGILL
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-1605
Mailing Address - Country:US
Mailing Address - Phone:918-630-2801
Mailing Address - Fax:
Practice Address - Street 1:216 N 20TH ST
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-1605
Practice Address - Country:US
Practice Address - Phone:918-630-2801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical