Individual
MS. MARGARET I ANDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, LCSW
Contact information
Practice address
4396 LAFAYETTE ST, SUITE 209, MARIANNA, FL 32446-3356
(850) 573-2233
(850) 482-2079
Mailing address
PO BOX 844, MARIANNA, FL 32447-0844
(850) 573-2233
(850) 482-2079
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9308448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010527600
—
FL
01
—
592 01021
BCBS ALABAMA
AL
05
—
7679670 00
—
FL
01
—
Y0M3Z
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
03/07/2023
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