Individual
ANDREA LYNN MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
3028 REESE ST, BALTIMORE, MD 21218-4224
(206) 853-4014
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R210745
MD
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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