Provider Demographics
NPI:1639339831
Name:KOHN, ANDREA S (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:S
Last Name:KOHN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 MEDICAL CENTER DR.
Mailing Address - Street 2:STE. 308
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-251-1244
Mailing Address - Fax:301-424-1365
Practice Address - Street 1:9711 MEDICAL CENTER DR.
Practice Address - Street 2:STE. 308
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-251-1244
Practice Address - Fax:301-424-1365
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR088487363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health