Individual
MICHAEL A ANDRADE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1414 N HOUK RD, STE 204, SPOKANE VALLEY, WA 99216-1097
(509) 922-0362
Mailing address
122 N RAYMOND RD, STE 20, SPOKANE VALLEY, WA 99206-6832
(509) 926-1770
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00098356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9608886
—
WA
Enumeration date
04/21/2006
Last updated
07/08/2007
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