Provider Demographics
NPI:1467820894
Name:ANDREWS, CAMISHA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:CAMISHA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SAINT PAULS PL APT 5D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1629
Mailing Address - Country:US
Mailing Address - Phone:347-268-4250
Mailing Address - Fax:
Practice Address - Street 1:57 SAINT PAULS PL APT 5D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1629
Practice Address - Country:US
Practice Address - Phone:347-268-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY706585163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse