1649426776 NPI number — MS. MARY FRANCES ELIZABETH MCANDREWS M.A.,M.ED, CVRT

Table of content: MS. MARY FRANCES ELIZABETH MCANDREWS M.A.,M.ED, CVRT (NPI 1649426776)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649426776 NPI number — MS. MARY FRANCES ELIZABETH MCANDREWS M.A.,M.ED, CVRT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCANDREWS
Provider First Name:
MARY FRANCES
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.,M.ED, CVRT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649426776
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14103 KRISTIN CT.
Provider Second Line Business Mailing Address:
APT. 201
Provider Business Mailing Address City Name:
WOODBRIDGE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-839-3776
Provider Business Mailing Address Fax Number:
703-359-1111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14103 KRISTIN CT
Provider Second Line Business Practice Location Address:
APT. 201
Provider Business Practice Location Address City Name:
WOODBRIDGE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22191-4844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-839-3776
Provider Business Practice Location Address Fax Number:
703-359-1111
Provider Enumeration Date:
08/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156F00000X , with the licence number:  AER CERTIFICATION , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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