Provider Demographics
NPI:1609193465
Name:ANDRIES, JANET R (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:R
Last Name:ANDRIES
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 571688
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-1688
Mailing Address - Country:US
Mailing Address - Phone:281-457-5131
Mailing Address - Fax:
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:SUITE #101
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4515
Practice Address - Country:US
Practice Address - Phone:713-622-1700
Practice Address - Fax:713-877-0672
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX463649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09771OtherPRESCRIPTION ID NUMBER