Provider Demographics
NPI:1801547534
Name:GARTEE, ANDREW ROMAN PRE
Entity type:Individual
Prefix:MR
First Name:ANDREW ROMAN
Middle Name:PRE
Last Name:GARTEE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ANDREW ROMAN
Other - Middle Name:PRE
Other - Last Name:DOMASIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4101 BIGELOW BLVD APT 315
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2002
Mailing Address - Country:US
Mailing Address - Phone:248-345-4938
Mailing Address - Fax:
Practice Address - Street 1:4101 BIGELOW BLVD APT 315
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2002
Practice Address - Country:US
Practice Address - Phone:248-345-4938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN750565163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse