Provider Demographics
NPI:1669413332
Name:ANDREASSI, MAUREEN PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:ANDREASSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260
Mailing Address - Country:US
Mailing Address - Phone:704-384-7840
Mailing Address - Fax:704-384-7830
Practice Address - Street 1:1401 MATTHEWS TOWNSHIP PKWY STE 200
Practice Address - Street 2:SUITE 103
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5403
Practice Address - Country:US
Practice Address - Phone:704-384-6901
Practice Address - Fax:704-384-6902
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600217207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5717476OtherAETNA
NC17457OtherPARTNERS
NC1037ROtherBCBSNC
NC200157944OtherTRICARE
NC9734021003OtherCIGNA
NCC0098OtherMEDCOST
NC04-56039OtherUNITED HEALTHCARE
NC179514OtherWELLPATH
NC891037RMedicaid
NCP00256325OtherRR MEDICARE
NC9734021003OtherCIGNA
NCP00256325OtherRR MEDICARE