Provider Demographics
NPI:1831328517
Name:RINES, ANDREA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:
Last Name:RINES
Suffix:
Gender:F
Credentials:PA-C
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 3677
Mailing Address - Street 2:8 PROSPECT STREET
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3677
Mailing Address - Country:US
Mailing Address - Phone:603-882-8375
Mailing Address - Fax:603-886-7163
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-882-8375
Practice Address - Fax:603-886-7163
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30337543Medicaid
NH0012209Medicare PIN