Provider Demographics
NPI:1649426776
Name:MCANDREWS, MARY FRANCES ELIZABETH (MA,MED, CVRT)
Entity type:Individual
Prefix:MS
First Name:MARY FRANCES
Middle Name:ELIZABETH
Last Name:MCANDREWS
Suffix:
Gender:F
Credentials:MA,MED, CVRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14103 KRISTIN CT.
Mailing Address - Street 2:APT. 201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191
Mailing Address - Country:US
Mailing Address - Phone:703-839-3776
Mailing Address - Fax:703-359-1111
Practice Address - Street 1:14103 KRISTIN CT
Practice Address - Street 2:APT. 201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4844
Practice Address - Country:US
Practice Address - Phone:703-839-3776
Practice Address - Fax:703-359-1111
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAAER CERTIFICATION156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist