Provider Demographics
NPI:1538247481
Name:SCHONHOFF, ANDREA C (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:SCHONHOFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:CHRISTINE
Other - Last Name:MENDILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:881 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-3057
Mailing Address - Country:US
Mailing Address - Phone:978-342-9781
Mailing Address - Fax:
Practice Address - Street 1:881 MAIN ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-3057
Practice Address - Country:US
Practice Address - Phone:978-342-9781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA2046363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110106347AMedicaid