Provider Demographics
NPI:1851396261
Name:ENGLISH, ANDREA ANNE (BA;MHS PA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:ANNE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:BA;MHS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16110 8TH AVE SW
Mailing Address - Street 2:STE B1
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2963
Mailing Address - Country:US
Mailing Address - Phone:206-248-5020
Mailing Address - Fax:206-244-8425
Practice Address - Street 1:16110 8TH AVE SW
Practice Address - Street 2:STE B1
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2963
Practice Address - Country:US
Practice Address - Phone:206-248-5020
Practice Address - Fax:206-244-8425
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003649363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP34419Medicare UPIN
WAG8804527Medicare ID - Type Unspecified