Provider Demographics
NPI:1992019566
Name:UNDERWOOD, ANDREA DAWN STOKES (DNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:DAWN STOKES
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
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Mailing Address - Street 1:101A ELDON PARKS DR
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-2455
Mailing Address - Country:US
Mailing Address - Phone:336-835-2283
Mailing Address - Fax:336-835-1562
Practice Address - Street 1:101A ELDON PARKS DR
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2455
Practice Address - Country:US
Practice Address - Phone:336-835-2283
Practice Address - Fax:336-835-1562
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5004802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily