Provider Demographics
NPI:1497838866
Name:SHERON, ANDREA ANDERSON (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ANDERSON
Last Name:SHERON
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7009
Mailing Address - Country:US
Mailing Address - Phone:336-889-8446
Mailing Address - Fax:336-878-7275
Practice Address - Street 1:1801 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7374
Practice Address - Country:US
Practice Address - Phone:368-889-8446
Practice Address - Fax:336-878-7275
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5001917363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004475Medicaid
NCNC5138AMedicare PIN
NCQ75203Medicare UPIN
NC7004475Medicaid
NC2592771Medicare PIN
NCP00712705Medicare PIN
NC2592771AMedicare PIN