Breedlove, Andrea S

Breedlove, Andrea S is an individual health care provider with primary practice located at 1 Saint Vincent Cir Ste 350 , Little Rock AR 72205-5408. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Breedlove, Andrea S can be contacted via phone (501) 353-2328.

Contact Information

Primary practice address
1 Saint Vincent Cir Ste 350 Little Rock AR 72205-5408
Phone: (501) 353-2328
Fax: (267) 295-6086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A001719 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A001719 Arkansas

Profile Details

NPI number 1982687471
LBN Legal business name Breedlove, Andrea S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 15th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982687471 NPPES
Arkansas Other 5A962 ARKANSAS BLUE CROSS BLUE SHIELD

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