Rerecich, Andrea

Rerecich, Andrea is an sole proprietor health care provider with primary practice located at 3505 Shiloh Dr , West Palm Beach FL 33407-6870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rerecich, Andrea can be contacted via phone (561) 242-5443.

Contact Information

Primary practice address
3505 Shiloh Dr West Palm Beach FL 33407-6870
Phone: (561) 242-5443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP3183512 Florida

Profile Details

NPI number 1184955239
LBN Legal business name Rerecich, Andrea
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2010
Last updated Mar 11th, 2015 - about 9 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 1184955239 NPPES
Florida MEDICAID 001816100

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