Provider Demographics
NPI:1528655438
Name:ANDREWS, JAMES (MSN-FNP-BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MSN-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 CENTRE ST UNIT 2539143
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3644
Mailing Address - Country:US
Mailing Address - Phone:619-203-4209
Mailing Address - Fax:
Practice Address - Street 1:3914 3RD AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3003
Practice Address - Country:US
Practice Address - Phone:619-203-4209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-26
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA752715163WE0003X
CANP95016714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency