Raider, Andrea M.

Raider, Andrea M. is an individual health care provider with primary practice located at 1001 Potrero Ave # 6D8 Sfgh, Ob-Gyn, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Nursing Service Providers / Ambulatory Care is her primary health care specialty. Raider, Andrea M. can be contacted via phone (415) 206-8336.

Contact Information

Primary practice address
1001 Potrero Ave # 6D8 Sfgh, Ob-Gyn San Francisco CA 94110-3518
Phone: (415) 206-8336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN483720 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP7257 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NPF7257 California

Profile Details

NPI number 1013136332
LBN Legal business name Raider, Andrea M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013136332 NPPES
Other 025825 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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