Individual
ANDREA DESERAE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-8728
(740) 574-8918
Mailing address
1661 STATE ROUTE 522 UNIT 2, WHEELERSBURG, OH 45694-8120
(740) 574-8728
(740) 574-8918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010987
KY
363LF0000X
Family Nurse Practitioner
Primary
COA.18373-NP
OH
Other
Enumeration date
11/12/2015
Last updated
01/14/2022
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