| Doctor Name: | DR. ANDREA CORINNE TRADER-MCKENNA |
| NPI Number: | 1063696318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G87561 |
| Business Practice Address: | 23 Main St Winters, CA - 956941722 |
| Business Phone Number: | 5307954377 |
| Business Fax Number: | |
| Mailing Address: | Po Box 842, WINTERS |
| State: | CA |
| Postal Code: | 956940842 |
| Phone Number: | 7074108519 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2007 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | G87561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |