Provider Demographics
NPI:1336847532
Name:ANDREWS, PORSHA (CRNA)
Entity type:Individual
Prefix:
First Name:PORSHA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:PORSHA
Other - Middle Name:ANDREWS
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3746 MILANO LAKES CIR UNIT 203
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2848
Mailing Address - Country:US
Mailing Address - Phone:910-876-0489
Mailing Address - Fax:
Practice Address - Street 1:3535 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1221
Practice Address - Country:US
Practice Address - Phone:937-298-4331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035368367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered