Bledsoe, Andrea

Bledsoe, Andrea is an individual health care provider with primary practice located at 396 Dingess St , Logan WV 25601-3624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bledsoe, Andrea can be contacted via phone (304) 831-1700.

Contact Information

Primary practice address
396 Dingess St Logan WV 25601-3624
Phone: (304) 831-1700
Fax: (304) 831-1726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50659 West Virginia

Profile Details

NPI number 1861457160
LBN Legal business name Bledsoe, Andrea
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861457160 NPPES
West Virginia MEDICAID 7101087000

Popular Providers