Provider Demographics
NPI:1669002846
Name:CLARKSON, ANDREA (APRN)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CLARKSON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:COOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2811
Mailing Address - Country:US
Mailing Address - Phone:620-388-2968
Mailing Address - Fax:
Practice Address - Street 1:2214 CANTERBURY DR STE 300
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2397
Practice Address - Country:US
Practice Address - Phone:785-261-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028527363L00000X
KS79215363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner