Doctor Name: | ALLYSON MALONE ANDREWS |
NPI Number: | 1164405569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 952 |
Business Practice Address: | Rt. 4 & 20 South Rock Cave, WV - 26234 |
Business Phone Number: | 3049246262 |
Business Fax Number: | 3049246699 |
Mailing Address: | 3 Applecreek Est, ELKINS |
State: | WV |
Postal Code: | 262419516 |
Phone Number: | 3046362955 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |