Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1042729 | TX |
N | 363LA2100X | Nurse Practitioner - Acute Care | 1042729 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | 1042729 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1042729 | TX |
NPI | 1063089068 |
---|---|
Provider Name | Chelsi Andrews |
First Address | San Antonio, TX 78220-9022 |
Second Address | San Antonio, TX 78232-2679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2021 |
Last Update Date | 12/01/2022 |