Provider Demographics
NPI:1386699189
Name:ANDREASSI, AMY LEAH (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEAH
Last Name:ANDREASSI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4290 TROUTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1000
Mailing Address - Country:US
Mailing Address - Phone:724-387-2870
Mailing Address - Fax:
Practice Address - Street 1:ONE MELLON WAY
Practice Address - Street 2:EXCELA HEALTH
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-537-1318
Practice Address - Fax:724-832-9311
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006347B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
079052ETDMedicare UPIN