Provider Demographics
NPI:1154034577
Name:LUNDQUIST, ANDREA (FNP-BC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LUNDQUIST
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 STEARMAN DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-5243
Mailing Address - Country:US
Mailing Address - Phone:615-206-2027
Mailing Address - Fax:615-206-2178
Practice Address - Street 1:1036 STEARMAN DR
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-5243
Practice Address - Country:US
Practice Address - Phone:615-206-2027
Practice Address - Fax:615-206-2178
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily