Delong, Andrea

Delong, Andrea is an individual health care provider with primary practice located at 7210 40Th St W Ste 100 , University Place WA 98466-4319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Delong, Andrea can be contacted via phone (253) 564-0170.

Contact Information

Primary practice address
7210 40Th St W Ste 100 University Place WA 98466-4319
Phone: (253) 564-0170
Fax: (253) 207-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00130896 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006869 Washington

Profile Details

NPI number 1134208788
LBN Legal business name Delong, Andrea
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Mar 16th, 2021 - about 3 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 1134208788 NPPES
Washington MEDICAID 1043000
Washington Other 224918
Washington Other 8939741
Washington Other 8939742
Washington Other 0192629
Washington Other 0192630

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