Doctor Name: | ANDREA BISHOP NAVARRE |
NPI Number: | 1003095845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 012165 |
Business Practice Address: | 1619 Nw Hawthorne Ave Suite 101 Grants Pass, OR - 975266008 |
Business Phone Number: | 5419550607 |
Business Fax Number: | |
Mailing Address: | 1619 Nw Hawthorne Ave, Suite 101 GRANTS PASS |
State: | OR |
Postal Code: | 975266008 |
Phone Number: | 5419550607 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 012165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |