Head, Andria Jean

Head, Andria Jean is an individual health care provider with primary practice located at 2115 N Kansas Ave Children & Adolescent Clinic Pc, Hastings NE 68901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Head, Andria Jean can be contacted via phone (402) 463-6828.

Contact Information

Primary practice address
2115 N Kansas Ave Children & Adolescent Clinic Pc Hastings NE 68901
Phone: (402) 463-6828
Fax: (402) 463-4767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1317 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01493 Iowa

Profile Details

NPI number 1326040973
LBN Legal business name Head, Andria Jean
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326040973 NPPES
Nebraska MEDICAID 47063717813

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