Provider Demographics
NPI:1023820313
Name:ANDRUS, SIENA LAUREN (PA-C)
Entity type:Individual
Prefix:
First Name:SIENA
Middle Name:LAUREN
Last Name:ANDRUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SIENA
Other - Middle Name:LAUREN
Other - Last Name:D'SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 STAN HARRIMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STRAFFORD
Mailing Address - State:MO
Mailing Address - Zip Code:65757-9401
Mailing Address - Country:US
Mailing Address - Phone:417-429-7419
Mailing Address - Fax:
Practice Address - Street 1:2115 S FREMONT AVE STE 5000
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2230
Practice Address - Country:US
Practice Address - Phone:417-820-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical