Doctor Name: | MRS. ANDREA ARTHUR |
NPI Number: | 1134496490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | NP20925 |
Business Practice Address: | 31739 Riverside Dr Ste A1 Lake Elsinore, CA - 925307818 |
Business Phone Number: | 9512450505 |
Business Fax Number: | |
Mailing Address: | 31739 Riverside Dr Ste A1, LAKE ELSINORE |
State: | CA |
Postal Code: | 925307818 |
Phone Number: | 9512450505 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP20925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |