Individual
MS. ANDREA DENISE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2700 TRIANA BLVD SW, HUNTSVILLE, AL 35805-4046
(256) 885-9708
(256) 883-1840
Mailing address
2702 TRIANA BLVD SW, HUNTSVILLE, AL 35805-4074
(256) 885-9708
(256) 883-1840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-190924
AL
363LF0000X
Family Nurse Practitioner
R879974
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07779543
—
MS
01
—
463580YKHV
MEDICARE ST DOM
MS
01
—
P01605303
RAILROAD MEDICARE
MS
Enumeration date
06/18/2014
Last updated
10/23/2025
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