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Individual

ANDREA LYNN MCGAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
211 N EDDY ST, NULL, SOUTH BEND, IN 46617-2808
(574) 234-8161
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 239-1433
(574) 237-9272

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185491
VA
363LA2100X
Acute Care Nurse Practitioner
71004372A
IN
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.023826
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201162780
IN
Enumeration date
04/10/2013
Last updated
12/22/2025
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