Willcox, Andrea Loren

Willcox, Andrea Loren is an individual health care provider with primary practice located at 13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Willcox, Andrea Loren can be contacted via phone (623) 876-8816.

Contact Information

Primary practice address
13460 N 94Th Dr Ste J1 Peoria AZ 85381-4246
Phone: (623) 876-8816
Fax: (623) 298-0168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6289 Arizona

Profile Details

NPI number 1770958449
LBN Legal business name Willcox, Andrea Loren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2015
Last updated Nov 7th, 2019 - about 7 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 1770958449 NPPES
Arizona MEDICAID 206287

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