Provider Demographics
NPI:1457636458
Name:ANDREWS, ASHLEY BROOKE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:BROOKE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:BROOKE
Other - Last Name:BURROUGHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6267
Mailing Address - Country:US
Mailing Address - Phone:912-350-6543
Mailing Address - Fax:912-350-7690
Practice Address - Street 1:4750 WATERS AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6267
Practice Address - Country:US
Practice Address - Phone:912-350-6543
Practice Address - Fax:912-350-7690
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169449363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003114958AMedicaid
GAP01003830OtherRAILROAD MEDICARE
SCNP1911Medicaid
GA003114958AMedicaid