Individual
MS. BRIDGET CORNELL ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA,MPH
Contact information
Practice address
1035 ALTO ST, LA FAMILIA MEDICAL CENTER, SANTA FE, NM 87501-2406
(505) 982-4425
(505) 982-6280
Mailing address
1035 ALTO ST, LA FAMILIA MEDICAL CENTER, SANTA FE, NM 87501-2406
(505) 982-4425
(505) 982-6280
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
005692-1
NY
363AM0700X
Medical Physician Assistant
2822
CO
363AM0700X
Medical Physician Assistant
566
MT
363AM0700X
Medical Physician Assistant
Primary
PA2009-043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z4167
—
NM
Enumeration date
07/15/2005
Last updated
06/17/2013
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