Pitzl, Andrea Jo

Pitzl, Andrea Jo is an individual health care provider with primary practice located at 3208 36Th Ave Ne , St Anthony MN 55418-1713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Pitzl, Andrea Jo can be contacted via phone (612) 805-5015.

Contact Information

Primary practice address
3208 36Th Ave Ne St Anthony MN 55418-1713
Phone: (612) 805-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 11081 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1668 Minnesota

Profile Details

NPI number 1477824472
LBN Legal business name Pitzl, Andrea Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2012
Last updated Nov 13th, 2015 - about 10 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 1477824472 NPPES
Minnesota Other P01138670 RAILROAD MEDICARE

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