Individual
STACEY ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 494-3800
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
202003713NP-PP
OR
Other
Enumeration date
04/27/2020
Last updated
04/01/2022
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