Andrea, Kathleen A

Andrea, Kathleen A is an individual health care provider with primary practice located at 2435 N Castro Ave , Tucson AZ 85705-5060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Andrea, Kathleen A can be contacted via phone (520) 622-8030.

Contact Information

Primary practice address
2435 N Castro Ave Tucson AZ 85705-5060
Phone: (520) 622-8030
Fax: (520) 622-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN103711 Arizona

Profile Details

NPI number 1295701043
LBN Legal business name Andrea, Kathleen A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 27th, 2012 - about 14 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 1295701043 NPPES
Arizona MEDICAID 619497

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