Provider Demographics
NPI:1497088165
Name:ANDREWS, CARRIE ANN
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ANN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 E 50TH ST
Mailing Address - Street 2:APT. 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7956
Mailing Address - Country:US
Mailing Address - Phone:301-704-0079
Mailing Address - Fax:
Practice Address - Street 1:357 E 50TH ST
Practice Address - Street 2:APT. 4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7956
Practice Address - Country:US
Practice Address - Phone:301-704-0079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420951-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health