Provider Demographics
NPI:1801684501
Name:ROSENTHAL, ANDREW (BA, MBA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:ROSENTHAL
Suffix:
Gender:
Credentials:BA, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-0140
Mailing Address - Country:US
Mailing Address - Phone:202-713-9163
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 140
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-0140
Practice Address - Country:US
Practice Address - Phone:202-713-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information