Andrada, Marta

Andrada, Marta is an individual health care provider with primary practice located at 1608 Main St , Conway SC 29526-3572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andrada, Marta can be contacted via phone (843) 248-4700.

Contact Information

Primary practice address
1608 Main St Conway SC 29526-3572
Phone: (843) 248-4700
Fax: (843) 248-3145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 26NO07889600 New Jersey

Profile Details

NPI number 1790821908
LBN Legal business name Andrada, Marta
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790821908 NPPES
South Carolina MEDICAID MW0244

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