Provider Demographics
NPI:1982255451
Name:ANDREWS, NERISSA (CSP CASE MANGER)
Entity Type:Individual
Prefix:
First Name:NERISSA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CSP CASE MANGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MURIEL LN
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-6230
Mailing Address - Country:US
Mailing Address - Phone:774-327-9028
Mailing Address - Fax:
Practice Address - Street 1:350 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2918
Practice Address - Country:US
Practice Address - Phone:508-540-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator