Provider Demographics
NPI:1427532639
Name:CAUDILL, ANDREW (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:CAUDILL
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2322 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1832
Mailing Address - Country:US
Mailing Address - Phone:614-906-6750
Mailing Address - Fax:
Practice Address - Street 1:61 E HIGH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-1247
Practice Address - Country:US
Practice Address - Phone:740-956-1066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH427330163W00000X
OHAPRN.CNP.0033338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse