Individual
MARTA ANDRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(843) 248-3145
Mailing address
PO BOX 2100, CONWAY, SC 29528-2100
(843) 488-6363
(843) 248-3145
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NO07889600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0244
—
SC
Enumeration date
01/29/2007
Last updated
02/20/2017
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