Doctor Name: | DEANA KAY ANDREWS |
NPI Number: | 1659679447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 85840 |
Business Practice Address: | 105 N Indian Meridian Rd Pauls Valley, OK - 730759236 |
Business Phone Number: | 4052079800 |
Business Fax Number: | 4052079898 |
Mailing Address: | 105 N Indian Meridian Rd, PAULS VALLEY |
State: | OK |
Postal Code: | 730759236 |
Phone Number: | 4052079800 |
Fax Number: | 4052079898 |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 85840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |