Provider Demographics
NPI:1609974591
Name:BEIGAY, ANDREA S (NP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:S
Last Name:BEIGAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 KANNAPOLIS HWY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-4267
Mailing Address - Country:US
Mailing Address - Phone:980-781-4794
Mailing Address - Fax:
Practice Address - Street 1:2308 KANNAPOLIS HWY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-4267
Practice Address - Country:US
Practice Address - Phone:980-781-4794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC005002289363L00000X
NC2006009404363LF0000X
NC5002289363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQNP086Medicaid
SCQNP086Medicaid
NC2592755Medicare PIN
NC2592755BMedicare UPIN