Provider Demographics
NPI:1417740457
Name:ANDREW, KRISTEN (CNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ANDREW
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 INDIGO CT
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-2756
Mailing Address - Country:US
Mailing Address - Phone:513-503-5124
Mailing Address - Fax:
Practice Address - Street 1:4007 INDIGO CT
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-2756
Practice Address - Country:US
Practice Address - Phone:513-503-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0039335363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner