Earlywine, Andrea

Earlywine, Andrea is an individual health care provider with primary practice located at 2100 Forum Blvd Ste C-2 , Columbia MO 65203-5436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Earlywine, Andrea can be contacted via phone (573) 447-7456.

Contact Information

Primary practice address
2100 Forum Blvd Ste C-2 Columbia MO 65203-5436
Phone: (573) 447-7456
Fax: (573) 447-7457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2001024627 Missouri

Profile Details

NPI number 1679778617
LBN Legal business name Earlywine, Andrea
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Aug 4th, 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 1679778617 NPPES
Missouri MEDICAID 1679778617

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