Individual
MS. CARYN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
2401 W BELVEDERE AVE, DEPT OF CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R144791
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406044000
—
MD
01
—
CA8374
R/R MEDICARE GROUP
MD
01
—
P00689583
R/R MEDICARE
MD
Enumeration date
04/10/2006
Last updated
05/15/2009
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