Strother, Andrea
Strother, Andrea is an individual health care provider with primary practice located at 4930 Illinois Rd Ste 5 , Fort Wayne IN 46804-5105. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Strother, Andrea can be contacted via phone (260) 467-0470.Contact Information
Primary practice address
4930 Illinois Rd Ste 5
Fort Wayne IN 46804-5105
Phone: (260) 467-0470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 041.552389 | Illinois |
| Nursing Service Providers / Community Health | 163WC1500X | 28183869A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 041.552389 | Illinois |
| Nursing Service Providers / Home Health | 163WH0200X | 28183869A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 28183869A | Indiana |
Profile Details
| NPI number | 1114606175 |
|---|---|
| LBN Legal business name | Strother, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2023 |
| Last updated | Nov 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114606175 | NPPES |
| Illinois | Other | 041.552389 | ILLINOIS DEPARTMENT FOR PROFESSIONAL REGULATION |
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