Provider Demographics
NPI:1831557057
Name:ESPINOZA, ANDREA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:
Credentials:
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 1686
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-1686
Mailing Address - Country:US
Mailing Address - Phone:870-345-3214
Mailing Address - Fax:870-361-6017
Practice Address - Street 1:114 S ELM ST STE B
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-4311
Practice Address - Country:US
Practice Address - Phone:870-345-3214
Practice Address - Fax:870-361-6017
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator