Individual
ANDREA J NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 70TH AVE STE 110, GREELEY, CO 80634-4628
(970) 378-4155
Mailing address
2001 70TH AVE STE 110, GREELEY, CO 80634-4628
(970) 378-4155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1501043
KS
363AM0700X
Medical Physician Assistant
Primary
2005029532
MO
Other
Enumeration date
10/19/2006
Last updated
05/30/2013
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