Provider Demographics
NPI:1811320393
Name:WINSOR-LOVELY, ANDREA MEGAN (PA)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:MEGAN
Last Name:WINSOR-LOVELY
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 CAMPUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742
Mailing Address - Country:US
Mailing Address - Phone:301-314-8180
Mailing Address - Fax:
Practice Address - Street 1:140 CAMPUS DRIVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742
Practice Address - Country:US
Practice Address - Phone:301-314-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant