Provider Demographics
NPI:1588603229
Name:ANDREWS, MARIA R (MS, RD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:R
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 WHITE HORSE DR SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-3675
Mailing Address - Country:US
Mailing Address - Phone:505-256-2779
Mailing Address - Fax:505-256-6493
Practice Address - Street 1:1501 SAN PEDRO DR SE
Practice Address - Street 2:120
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5153
Practice Address - Country:US
Practice Address - Phone:505-256-2779
Practice Address - Fax:505-256-6493
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered