Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 515959 | TX |
NPI | 1164696001 |
---|---|
Provider Name | Sherry Andrews |
First Address | Lubbock, TX 79410-1314 |
Second Address | Lubbock, TX 79410-1226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 22/04/2008 |