Provider Demographics
NPI:1730297201
Name:ANDREWS, NANCY (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:ANDREWS
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 1:702 14TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2320
Mailing Address - Country:US
Mailing Address - Phone:828-465-0811
Mailing Address - Fax:828-465-0811
Practice Address - Street 1:2509 BROADMOOR BLVD
Practice Address - Street 2:STE B
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3184
Practice Address - Country:US
Practice Address - Phone:878-381-3823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200955363LP2300X
NC200955363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP43482Medicare UPIN