Individual
BRANDY M ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
1850 MADISON STREET, COVINGTON, KY 41011
(859) 912-5863
Mailing address
1850 MADISON STREET, COVINGTON, KY 41011
(859) 912-5863
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3004074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000477733
ANTHEM INSURANCE
OH
05
—
7100053380
—
KY
Enumeration date
07/19/2006
Last updated
01/16/2017
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