Provider Demographics
NPI:1952838625
Name:JOINER, ANDREA PATRICE
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:PATRICE
Last Name:JOINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 APPIAN WAY CT
Mailing Address - Street 2:APT A
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5409
Mailing Address - Country:US
Mailing Address - Phone:614-822-6994
Mailing Address - Fax:
Practice Address - Street 1:4100 APPIAN WAY CT
Practice Address - Street 2:APT A
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-5409
Practice Address - Country:US
Practice Address - Phone:614-822-6994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide