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Individual

MARY CHARLENE MCANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1090732
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
28078009A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3009648
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005526A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201306820
IN
01
50095002
PASSPORT PROVIDER NUMBER
01
P01547739
MEDICARE RAILROAD
IN
Enumeration date
01/15/2010
Last updated
01/05/2016
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