Provider Demographics
NPI:1396813788
Name:ANDREWS, MAUREENE HELENA (PA-C)
Entity type:Individual
Prefix:MS
First Name:MAUREENE
Middle Name:HELENA
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6902
Mailing Address - Country:US
Mailing Address - Phone:406-414-5000
Mailing Address - Fax:
Practice Address - Street 1:334 TOWN CENTER AVE
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716
Practice Address - Country:US
Practice Address - Phone:406-995-6995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-00536363A00000X
MT113683363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2760118CMedicare Oscar/Certification
NC2760118FMedicare Oscar/Certification
NC2760118Medicare Oscar/Certification
NC2760118DMedicare Oscar/Certification
NC2760118GMedicare Oscar/Certification
NC2760118BMedicare Oscar/Certification
NC2760118SMedicare Oscar/Certification
NC2760118EMedicare Oscar/Certification