Provider Demographics
NPI:1952017048
Name:MCANDREWS, MAEVE BRIDGET
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:BRIDGET
Last Name:MCANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26747 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2235
Mailing Address - Country:US
Mailing Address - Phone:216-318-3894
Mailing Address - Fax:
Practice Address - Street 1:27158 LAKE RD
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2271
Practice Address - Country:US
Practice Address - Phone:216-246-2703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide