Provider Demographics
NPI:1932080397
Name:DRAYER, ANDREA LEIGH
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LEIGH
Last Name:DRAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2566
Mailing Address - Country:US
Mailing Address - Phone:714-653-3963
Mailing Address - Fax:
Practice Address - Street 1:846 TREMONT ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2566
Practice Address - Country:US
Practice Address - Phone:714-653-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program