Provider Demographics
NPI:1467286591
Name:MCHENRY, ANDRA MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:ANDRA
Middle Name:MARIE
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PEARTREE WAY
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1954
Mailing Address - Country:US
Mailing Address - Phone:724-773-4710
Mailing Address - Fax:724-773-7641
Practice Address - Street 1:1 PEARTREE WAY
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1954
Practice Address - Country:US
Practice Address - Phone:724-773-4710
Practice Address - Fax:724-773-7641
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator