Provider Demographics
NPI:1710289426
Name:BOND, ANDREA R (APRN)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:R
Last Name:BOND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-4802
Mailing Address - Country:US
Mailing Address - Phone:913-717-4700
Mailing Address - Fax:913-717-4798
Practice Address - Street 1:6750 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-4802
Practice Address - Country:US
Practice Address - Phone:913-717-4700
Practice Address - Fax:913-717-4798
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75256-112363LF0000X
MO2011001351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily