# ANDREA CHISHOLM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265571046
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 11313A | WY | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 155750 | MA | — |
| 207VG0400X | Gynecology Physician | 155750 | MA | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 10/05/2020