Provider Demographics
NPI:1295171916
Name:SHANDRI, ANDREA (MED, CD(DONA), CCCE)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SHANDRI
Suffix:
Gender:F
Credentials:MED, CD(DONA), CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 47TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3038
Mailing Address - Country:US
Mailing Address - Phone:515-865-2693
Mailing Address - Fax:
Practice Address - Street 1:1711 47TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-3038
Practice Address - Country:US
Practice Address - Phone:515-865-2693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula