Andrea, Kathleen A
Andrea, Kathleen A is an individual health care provider with primary practice located at 2435 N Castro Ave , Tucson AZ 85705-5060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Andrea, Kathleen A can be contacted via phone (520) 622-8030.Contact Information
Primary practice address
2435 N Castro Ave
Tucson AZ 85705-5060
Phone: (520) 622-8030
Fax: (520) 622-8012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN103711 | Arizona |
Profile Details
| NPI number | 1295701043 |
|---|---|
| LBN Legal business name | Andrea, Kathleen A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Aug 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295701043 | NPPES |
| Arizona | MEDICAID | 619497 |
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