Provider Demographics
NPI:1043962590
Name:ANDREWS, CHRISTINA GRACE (MPA, MED, CPM)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GRACE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MPA, MED, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5107
Mailing Address - Country:US
Mailing Address - Phone:443-907-0909
Mailing Address - Fax:
Practice Address - Street 1:92 HICKORY LN
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5107
Practice Address - Country:US
Practice Address - Phone:443-907-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECW-0010013175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay