Provider Demographics
NPI:1740993534
Name:MAAS, ANDREW JAMES (BSN RN, LNFA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:MAAS
Suffix:
Gender:M
Credentials:BSN RN, LNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 PINE LN
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD SHORES
Mailing Address - State:TX
Mailing Address - Zip Code:78657-9442
Mailing Address - Country:US
Mailing Address - Phone:319-310-1988
Mailing Address - Fax:
Practice Address - Street 1:837 PINE LN
Practice Address - Street 2:
Practice Address - City:COTTONWOOD SHORES
Practice Address - State:TX
Practice Address - Zip Code:78657-9442
Practice Address - Country:US
Practice Address - Phone:319-310-1988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA093758163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator