Kummer, Andrea Randazzo
Kummer, Andrea Randazzo is an sole proprietor health care provider with primary practice located at 9180 Pinecroft Dr Ste 600 , Shenandoah TX 77380-3883. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kummer, Andrea Randazzo can be contacted via phone (281) 296-0365.Contact Information
Primary practice address
9180 Pinecroft Dr Ste 600
Shenandoah TX 77380-3883
Phone: (281) 296-0365
Fax: (281) 298-8907
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP145131 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP145131 | Texas |
Profile Details
NPI number | 1902419880 |
---|---|
LBN Legal business name | Kummer, Andrea Randazzo |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 28th, 2020 |
Last updated | Nov 11th, 2022 - about 2 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 | 1902419880 | NPPES |
Texas | MEDICAID | 416217406 |
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