Provider Demographics
NPI:1831719509
Name:STROTHER, ANDREA CHRISTIN (FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CHRISTIN
Last Name:STROTHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42014 GARDENS BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1333
Mailing Address - Country:US
Mailing Address - Phone:985-969-4146
Mailing Address - Fax:
Practice Address - Street 1:404 W UNIVERSITY AVE UNIT B
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-1302
Practice Address - Country:US
Practice Address - Phone:985-348-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA211662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily