Provider Demographics
NPI:1861851248
Name:MCANDREW, BRIANNE (CRNA, DNP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:MCANDREW
Suffix:
Gender:F
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:
Other - Last Name:BALLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 STELZER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3676
Mailing Address - Country:US
Mailing Address - Phone:614-285-7844
Mailing Address - Fax:
Practice Address - Street 1:3600 STELZER RD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3676
Practice Address - Country:US
Practice Address - Phone:614-285-7844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.343503163W00000X
IL041.384955163W00000X
IL209013875367500000X
OHAPRN.CRNA.0020587367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse