Provider Demographics
NPI:1457330854
Name:HUSON, ANDREA W (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:W
Last Name:HUSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 OAKINGTON ST
Mailing Address - Street 2:KIRK U.S. ARMY HEALTH CLINIC
Mailing Address - City:APG
Mailing Address - State:MD
Mailing Address - Zip Code:21005-5131
Mailing Address - Country:US
Mailing Address - Phone:410-278-1913
Mailing Address - Fax:410-278-1903
Practice Address - Street 1:2501 OAKINGTON ST
Practice Address - Street 2:KIRK U.S. ARMY HEALTH CLINIC
Practice Address - City:APG
Practice Address - State:MD
Practice Address - Zip Code:21005-5131
Practice Address - Country:US
Practice Address - Phone:410-278-1913
Practice Address - Fax:410-278-1903
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR058662163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health