Provider Demographics
NPI:1740763994
Name:CATRELL, ANDREA (ARNP - FNP-C)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CATRELL
Suffix:
Gender:F
Credentials:ARNP - FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 LAKEWAY DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2546
Mailing Address - Country:US
Mailing Address - Phone:360-306-9773
Mailing Address - Fax:
Practice Address - Street 1:1201 PACIFIC AVE STE 600
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4384
Practice Address - Country:US
Practice Address - Phone:253-203-3131
Practice Address - Fax:253-397-3530
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60904896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily