Provider Demographics
NPI:1740947860
Name:SARASWATI, ANDREA ARETHA (FNP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:ARETHA
Last Name:SARASWATI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19275 SPRINGPORT DR
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3049
Mailing Address - Country:US
Mailing Address - Phone:626-535-3100
Mailing Address - Fax:
Practice Address - Street 1:289 W HUNTINGTON DR STE 301
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3490
Practice Address - Country:US
Practice Address - Phone:877-501-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily