Individual
MS. ANDREA MARTIN WINDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN PNP IBCLC
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-3346
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-3346
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
362012
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
362012
CA
Other
Enumeration date
11/21/2006
Last updated
01/03/2022
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