Provider Demographics
NPI:1821061904
Name:VORHIS, ANDREW M (NP)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:VORHIS
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 1/2 LINCOLNWAY S
Mailing Address - Street 2:PO BOX 319
Mailing Address - City:LIGONIER
Mailing Address - State:IN
Mailing Address - Zip Code:46767-1735
Mailing Address - Country:US
Mailing Address - Phone:260-894-7135
Mailing Address - Fax:260-894-7221
Practice Address - Street 1:1150 1/2 LINCOLNWAY S
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:IN
Practice Address - Zip Code:46767-1735
Practice Address - Country:US
Practice Address - Phone:260-894-7135
Practice Address - Fax:260-894-7221
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71000981A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200503210Medicaid
IN184520NNMedicare PIN
INQ32754Medicare UPIN