Provider Demographics
NPI:1396110342
Name:ANDREWS, PATRICIA J (LPN, BA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPN, BA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:J
Other - Last Name:BIRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:106 ROXBURY ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3816
Mailing Address - Country:US
Mailing Address - Phone:603-358-4041
Mailing Address - Fax:603-358-6527
Practice Address - Street 1:106 ROXBURY ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3816
Practice Address - Country:US
Practice Address - Phone:603-358-4041
Practice Address - Fax:603-358-6527
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH015739-22164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse