Individual
ANDREA SHEA WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
753 SE MAIN ST STE 205, ROSEBURG, OR 97470-3985
(503) 455-7656
(503) 457-0645
Mailing address
753 SE MAIN ST STE 205, ROSEBURG, OR 97470-3985
(503) 455-7656
(503) 457-0645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP9762
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202201834NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202201834NP-PP
OR
Other
Enumeration date
06/09/2016
Last updated
06/25/2024
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