Provider Demographics
NPI:1598149619
Name:ALSIP, ANDEE SHARON (RN)
Entity type:Individual
Prefix:MS
First Name:ANDEE
Middle Name:SHARON
Last Name:ALSIP
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:701 S MOUNT VERNON AVE
Mailing Address - Street 2:SBVC-STUDENT HEALTH SERVICES
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92410-2705
Mailing Address - Country:US
Mailing Address - Phone:909-384-4495
Mailing Address - Fax:909-888-6297
Practice Address - Street 1:701 S MOUNT VERNON AVE
Practice Address - Street 2:SBVC-STUDENT HEALTH SERVICE
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-2705
Practice Address - Country:US
Practice Address - Phone:909-384-4495
Practice Address - Fax:909-888-6297
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313484163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse